Individual
CONSUELO PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7700 S ALAMEDA ST, HUNTINGTON PARK, CA 90255-3745
(323) 585-9200
Mailing address
2917 1/4 WALTON AVE, LOS ANGELES, CA 90007-2979
(818) 268-7138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64805
CA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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