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Daniel J. Palm, DDS, LLC

Clinic/Center, Dental in Baton Rouge, LA. Organization (NPI-2).

NPI number1558040527
StatusActive
Last updated in NPPESJul 17, 2023

Details

NPI
1558040527
Entity type
Organization (NPI-2)
Legal business name
Daniel J. Palm, DDS, LLC
Organization subpart
No
Enumeration date
Jul 17, 2023
Certification date
Jul 16, 2023
Last updated
Jul 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Palm Family Dentistry (Doing Business As)

Practice location

7604 Goodwood Blvd
Baton Rouge, LA 70806-7622

Phone 225-927-7545

Mailing address

8923 Hill Dr
Baton Rouge, LA 70809-2929

Authorized official

Daniel Palm
Owner
5043384772

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