Individual
DR. DENNIS LANE PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
97 SAN MARIN DR, NOVATO, CA 94945-1100
(415) 899-7559
(415) 899-7513
Mailing address
97 SAN MARIN DR, NOVATO, CA 94945-1100
(415) 899-7559
(415) 899-7513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6769T
CA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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