Provider Demographics
NPI:1801042163
Name:PALMER, ELIZABETH A (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:PALMER
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Gender:F
Credentials:DMD, MS
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Mailing Address - Street 1:6222 NE 74TH ST # 354915
Mailing Address - Street 2:THE CENTER FOR PEDIATRIC DENTISTRY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8158
Mailing Address - Country:US
Mailing Address - Phone:206-543-5800
Mailing Address - Fax:206-543-0063
Practice Address - Street 1:6222 NE 74TH ST # 354915
Practice Address - Street 2:THE CENTER FOR PEDIATRIC DENTISTRY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8158
Practice Address - Country:US
Practice Address - Phone:206-543-5800
Practice Address - Fax:206-543-0063
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2014-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORD92111223P0221X
WADE604486411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry