Provider Demographics
NPI:1457460347
Name:PALMERI-MAFFEI, PATRICIA ANTOINETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANTOINETTE
Last Name:PALMERI-MAFFEI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TRISH
Other - Middle Name:ANTOINETTE
Other - Last Name:PALMERI-MAFFEI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:15255 HESPERIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-3929
Mailing Address - Country:US
Mailing Address - Phone:510-481-8080
Mailing Address - Fax:510-481-8098
Practice Address - Street 1:15255 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-3929
Practice Address - Country:US
Practice Address - Phone:510-481-8080
Practice Address - Fax:510-481-8098
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA385771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice