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General NPI Number Information
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NPI Number | 1326422734
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Entity Type | Organization
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Legal Business Name | KRISTINA PALMER DDS PLLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 3333 S PENNSYLVANIA AVE SUITE 200
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City | LANSING
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State | MI
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Zip | 48910-4795
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Country | US
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Telephone | 517-393-4900
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Fax | 517-393-3047
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Provider Business Mailing Address
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Address Line | 3333 S PENNSYLVANIA AVE SUITE 200
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City | LANSING
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State | MI
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Zip | 48910-4795
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Country | US
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Telephone | 517-393-4900
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Fax | 517-393-3047
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA L PALMER
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Credential | DDS
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Telephone | 517-393-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901019178
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License Number State | MI
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