| The Palisades Dentists | |
|
881 Alma Real Dr Ste T2 Pacific Palisades CA 90272-3741 | |
| (310) 459-2303 | |
| Not Available |
| Full Name | The Palisades Dentists |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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