# PALI, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710438676
- **Authorized official:** CHARISMA LUAT DDS (DENTIST/OWNER)
- **Authorized official phone:** (623) 937-9241

## Contact information

- **Practice address:** 5511 W GLENDALE AVE, GLENDALE, AZ 85301-2522
- **Practice address phone:** (623) 937-9241
- **Mailing address:** 5511 W GLENDALE AVE, GLENDALE, AZ 85301-2522
- **Mailing address phone:** (623) 937-9241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D008569 | AZ | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 03/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 120792 | — | AZ |