| NPI | 1245636331 |
|---|---|
| Doing Business As | COLUMBIA CIRCLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHANNA LUCIA PALACIO Dentist 347-204-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 057419-1) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |