Organization
PALM DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PALM (OWNER/ DENTIST)
(410) 766-0558
Entity
Organization
Contact information
Practice address
7951 CRAIN HWY S, GLEN BURNIE, MD 21061-4934
(410) 766-2255
(410) 766-1442
Mailing address
PO BOX 1147, GLEN BURNIE, MD 21060-1147
(410) 766-0558
(410) 766-1442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13941
MD
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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