Individual
LOUIS GERALD PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 GRANVILLE DR, SILVER SPRING, MD 20901-3103
(484) 269-9496
Mailing address
303 GRANVILLE DR, SILVER SPRING, MD 20901-3103
(484) 269-9496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17360
MD
Other
Enumeration date
03/28/2021
Last updated
09/30/2022
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