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General NPI Number Information
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NPI Number | 1609709443
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Entity Type | Organization
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Legal Business Name | GRAYSON D PALMER DDS INC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 831 HARRIS ST STE A
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City | EUREKA
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State | CA
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Zip | 95503-4501
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Country | US
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Telephone | 707-499-0026
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Fax | 707-443-2371
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Provider Business Mailing Address
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Address Line | 831 HARRIS ST STE A
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City | EUREKA
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State | CA
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Zip | 95503-4501
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Country | US
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Telephone | 707-499-0026
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Fax | 707-443-2371
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Authorized Official
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Title or Position | PRESIDENT
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Name | GRAYSON DEAN PALMER
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Credential | DDS
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Telephone | 707-443-8367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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