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Individual

DR. LEVI SAMUEL PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7275 ADOBE CREEK DR, KELSEYVILLE, CA 95451-8008
(707) 263-0629
(707) 263-0629
Mailing address
7275 ADOBE CREEK DR, KELSEYVILLE, CA 95451-8008
(707) 263-0629
(707) 263-0629

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
52667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52667
LICENSE
CA
Enumeration date
04/20/2007
Last updated
07/08/2007
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