| Palacin Dental Group Pa | |
|
13728 W State Road 84 Davie FL 33325-5304 | |
| (954) 472-4656 | |
| (866) 401-0408 |
| Full Name | Palacin Dental Group Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13728 W State Road 84, Davie, Florida |
| Authorized Official Name and Position | Matilde Palacin (PRESIDENT) |
| Authorized Official Contact | 9544724656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palacin Dental Group Pa 13728 W State Road 84 Davie FL 33325-5304 Ph: (954) 472-4656 | Palacin Dental Group Pa 13728 W State Road 84 Davie FL 33325-5304 Ph: (954) 472-4656 |
| NPI Number | 1134203342 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134203342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17070 (Florida) | Primary |
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