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Organization
PALACIN DENTAL GROUP PA
Active
Organization
PALACIN DENTAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATILDE PALACIN DDS (PRESIDENT)
(954) 472-4656
Entity
Organization
Contact information
Practice address
13728 W STATE ROAD 84, DAVIE, FL 33325-5304
(954) 472-4656
(866) 401-0408
Mailing address
13728 W STATE ROAD 84, DAVIE, FL 33325-5304
(954) 472-4656
(866) 401-0408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17070
FL
Other
Enumeration date
10/24/2006
Last updated
04/08/2016
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