Organization
PALACIOS ORTHODONTICS INC
Active
Other names
Gentle braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERO G PALACIOS DDS (PRESIDENT)
(860) 223-7014
Entity
Organization
Contact information
Practice address
19018 NE 29TH AVE, AVENTURA, FL 33180-2823
(305) 932-4222
Mailing address
19018 NE 29TH AVE, AVENTURA, FL 33180-2823
(305) 932-4222
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P422667753791
ORTHODONTICS ONLY TAKES PRIVATE INSURANCE
FL
Enumeration date
02/05/2021
Last updated
02/05/2021
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