IndividualActive
Mitzi Palazzolo, DDS, MS
NPI 1770747966 · Oral and Maxillofacial Pathology Dentistry · Travis Afb, CA
Provider details
- NPI number
- 1770747966
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DTP502 (FL)
Specialties & taxonomies
Dental Providers
Practice location
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone: (707) 423-3000
Approximate (ZIP-level) locationGet directions
Mailing address
101 Bodin Cir
Travis Afb, CA 94535-1809
Registry dates
- Enumerated
- 2008-07-16
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.