Individual
DR. SERGIO LEONIDAS PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1395 CENTER DR APT D8-18, GAINESVILLE, FL 32610-3006
(352) 273-7755
Mailing address
4700 SW ARCHER RD APT E38, GAINESVILLE, FL 32608-3886
(786) 260-8934
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
1596
FL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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