Organization
PALM & PANEK DDS PC
Active
Other names
Center for Oral Surgery & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA JO HANES (BUSINESS MANAGER)
(616) 361-7327
Entity
Organization
Contact information
Practice address
158 MARCELL DR NE, SUITE B, ROCKFORD, MI 49341-1362
(616) 866-4200
(616) 866-0320
Mailing address
158 MARCELL DR NE, SUITE B, ROCKFORD, MI 49341-1390
(616) 866-4200
(616) 866-0320
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
11/02/2021
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