Individual provider · Type 1 NPI

Sergio Leonidas Palacios, DDS

Oral and Maxillofacial Radiology Dentistry · Gainesville, FL

NPI number 1194241604 Active

Practice location

1395 Center Dr Apt D8-18
Gainesville, FL 32610-3006

Mailing address

4700 SW Archer Rd Apt E38
Gainesville, FL 32608-3886

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Radiology Dentistry Primary 1223X0008X1596 (FL)

Oral and Maxillofacial Radiology Dentistry: The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

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About NPI 1194241604

Sergio Leonidas Palacios, DDS's National Provider Identifier is 1194241604, issued on Aug 16, 2017. The primary taxonomy on file is Oral and Maxillofacial Radiology Dentistry (1223X0008X), and the practice location is in Gainesville, FL. The record was last updated on Aug 16, 2017.