| NPI | 1740784230 |
|---|---|
| Former Legal Business Name | PALMER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK PALMER Owner/Dentist 928-428-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |