| Alexander Balian,professional Dental Corporation | |
|
10700 Burbank Blvd Suit 2 North Hollywood CA 91601-2513 | |
| (818) 505-8819 | |
| Not Available |
| Full Name | Alexander Balian,professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10700 Burbank Blvd, North Hollywood, California |
| Authorized Official Name and Position | Alexander Balian (PRESIDENT) |
| Authorized Official Contact | 8185058819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Balian,professional Dental Corporation 10700 Burbank Blvd Suit 2 North Hollywood CA 91601-2513 Ph: (818) 505-8819 | Alexander Balian,professional Dental Corporation 10700 Burbank Blvd Suit 2 North Hollywood CA 91601-2513 Ph: (818) 505-8819 |
| NPI Number | 1902935364 |
|---|---|
| Provider Enumeration Date | 03/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902935364 | NPI | - | NPPES |
| 508806 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34301 (California) | Primary |
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