| NPI | 1235771395 |
|---|---|
| Former Name | GABRIELA A PALACIOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 37945) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 032r) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-04-04 |