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Organization
PAUL B. PALMER D.D.S., INC
Active
Organization
PAUL B. PALMER D.D.S., INC
Active
Other names
Culver Del Rey Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B PALMER DDS (OWNER)
(310) 915-9797
Entity
Organization
Contact information
Practice address
12202 W WASHINGTON BL, LOS ANGELES, CA 90066
(310) 915-9797
(310) 915-9739
Mailing address
12202 W WASHINGTON BL, LOS ANGELES, CA 90066
(310) 915-9797
(310) 915-9739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521657
DENTICAL
CA
Enumeration date
09/01/2006
Last updated
07/09/2013
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