PALOOZA SMILE LLC; NPI #1063291888

Contact Information

PALOOZA SMILE LLC

664 ACADEMY ST
NEW YORK, NY 10034-4229

Phone: 718-294-3725
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for PALOOZA SMILE LLC

NPI #	`1063291888`
LBN Legal business name	PALOOZA SMILE LLC
Authorized official	ALEJANDRO WILLIAMS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/22/2023
Last updated	09/22/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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