Organization
PALI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARISMA LUAT DDS (DENTIST)
(623) 937-9241
Entity
Organization
Contact information
Practice address
6040 N 43RD AVE, SUITE 2, GLENDALE, AZ 85301-5488
(623) 937-9241
(623) 847-4436
Mailing address
6040 N 43RD AVE, SUITE 2, GLENDALE, AZ 85301-5488
(623) 937-9241
(623) 847-4436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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