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 OFFICE MANAGER)
(616) 361-7327
Entity
Organization
Contact information
Practice address
4349 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(616) 361-7327
Mailing address
4349 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(616) 361-7327
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
11/02/2021
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