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General NPI Number Information
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NPI Number | 1013880947
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Entity Type | Organization
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Legal Business Name | ANDERSON AND PALLA DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1301 20TH ST STE 400
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City | SANTA MONICA
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State | CA
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Zip | 90404-2090
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Country | US
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Telephone | 310-453-5330
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Fax | 310-453-5326
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Provider Business Mailing Address
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Address Line | 1301 20TH ST STE 400
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City | SANTA MONICA
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State | CA
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Zip | 90404-2090
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Country | US
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Telephone | 310-453-5330
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Fax | 310-453-5326
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN PALLA
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Credential | DMD, MD
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Telephone | 310-453-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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