The Palisades Dentists | |
881 Alma Real Dr Ste T2 Pacific Palisades CA 90272-3741 | |
(310) 459-2303 | |
Not Available |
Full Name | The Palisades Dentists |
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Speciality | Dentist |
Location | 881 Alma Real Dr Ste T2, Pacific Palisades, California |
Authorized Official Name and Position | Cerisa Moncayo (OWNER) |
Authorized Official Contact | 6619021153 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Palisades Dentists 881 Alma Real Dr Ste T2 Pacific Palisades CA 90272-3741 Ph: (310) 459-2303 | The Palisades Dentists 881 Alma Real Dr Ste T2 Pacific Palisades CA 90272-3741 Ph: (310) 459-2303 |
NPI Number | 1134653256 |
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Provider Enumeration Date | 04/14/2017 |
Last Update Date | 04/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134653256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 61688 (California) | Primary |
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