Individual
ZANE O PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 817-2875
Mailing address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 817-2875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4031
ID
1223G0001X
General Practice Dentistry
D8744
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D-4031
DENTAL LICENSE
ID
01
—
D8744
DENTAL LICENSE
OR
Enumeration date
07/13/2006
Last updated
10/18/2024
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