| Columbia Circle Dental | |
|
30 West 60th Street Suite 1gh New York NY 10023 | |
| (212) 246-3200 | |
| Not Available |
| Full Name | Columbia Circle Dental |
|---|---|
| Speciality | Dentist |
| Location | 30 West 60th Street, New York, New York |
| Authorized Official Name and Position | Johanna Lucia Palacio (DENTIST) |
| Authorized Official Contact | 3472043914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Circle Dental 8470 129th St Apt 2b Kew Gardens NY 11415-2810 Ph: () - | Columbia Circle Dental 30 West 60th Street Suite 1gh New York NY 10023 Ph: (212) 246-3200 |
| NPI Number | 1245636331 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245636331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 057419-1 (New York) | Primary |
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