Organization
JUAN C JARAMILLO DDS PC
Active
Other names
Columbia circle dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHANNA LUCIA PALACIO DMD (DENTIST)
(347) 204-3914
Entity
Organization
Contact information
Practice address
30 WEST 60TH STREET, SUITE 1GH, NEW YORK, NY 10023
(212) 246-3200
Mailing address
8470 129TH ST, APT 2B, KEW GARDENS, NY 11415-2810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057419-1
NY
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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