| Palisades Surgical Arts | |
|
881 Alma Real Dr Suite T4 Pacific Palisades CA 90272-3731 | |
| (310) 459-0014 | |
| Not Available |
| Full Name | Palisades Surgical Arts |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 881 Alma Real Dr, Pacific Palisades, California |
| Authorized Official Name and Position | Max Paul Moncayo (PRESIDENT) |
| Authorized Official Contact | 3104590014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palisades Surgical Arts 881 Alma Real Dr Suite T4 Pacific Palisades CA 90272-3731 Ph: (310) 459-0014 | Palisades Surgical Arts 881 Alma Real Dr Suite T4 Pacific Palisades CA 90272-3731 Ph: (310) 459-0014 |
| NPI Number | 1053845172 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053845172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 53926 (California) | Primary |
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