Organization
DESIREE T PALMER DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA LEWIS (PRACTICE ADMINISTRATOR)
(919) 471-9106
Entity
Organization
Contact information
Practice address
105 NEWSOM ST, SUITE 204, DURHAM, NC 27704-2197
(919) 471-9106
(919) 477-0954
Mailing address
105 NEWSOM ST, SUITE 204, DURHAM, NC 27704-2197
(919) 471-9106
(919) 477-0954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996583
—
NC
Enumeration date
03/11/2014
Last updated
03/11/2014
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