Organization
LEVI S.PALMER, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI S. PALMER D.D.S. (PRESIDENT)
(707) 262-1919
Entity
Organization
Contact information
Practice address
626 S MAIN ST, LAKEPORT, CA 95453-5324
(707) 262-1919
(707) 262-5831
Mailing address
626 S MAIN ST, LAKEPORT, CA 95453-5324
(707) 262-1919
(707) 262-5831
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
52667
CA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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