Individual
CHARLES B PALMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15587 KINGS HWY, MONTROSS, VA 22520-0394
(804) 493-8993
(804) 493-0907
Mailing address
PO BOX 394, 15587 KINGS HWY, MONTROSS, VA 22520-0394
(804) 493-8993
(804) 493-0907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006352
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028269
ANTHEM PROVIDER
VA
01
—
435766
UNITED CONCORDIA
—
Enumeration date
12/06/2005
Last updated
07/08/2007
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