Jacob Palma, DDS

NPI 1700816519 · on the registry since 2006 · sole proprietor

Practice

Address: 2200 Bergquist Dr Ste 1
Att: Credentials ( Cmc)
Lackland A F B, TX 78236
Phone: (210) 536-1846
Fax: (210) 536-3049
Organisation at this address: Us Army
Lackland Ncfc Phcy
Lackland Bmt Op Phcy
Brooks City Base Clinic
59th Mdw-Whasc-Lackland
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 178

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas