Juan C Jaramillo DDS PC
Dentist in New York, NY. Organization (NPI-2).
NPI number1245636331
StatusActive
Last updated in NPPESNov 17, 2014
Details
- NPI
- 1245636331
- Entity type
- Organization (NPI-2)
- Legal business name
- Juan C Jaramillo DDS PC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2014
- Last updated
- Nov 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 057419-1 | NY | Yes |
Other names
- Columbia Circle Dental (Doing Business As)
Practice location
30 West 60th StreetSuite 1gh
New York, NY 10023
Phone 212-246-3200
Mailing address
8470 129th StApt 2b
Kew Gardens, NY 11415-2810
Authorized official
Johanna Lucia Palacio
Dentist
3472043914
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