| Balacky Dental Group, P.c. | |
|
321 N Larchmont Blvd Ste 613 Los Angeles CA 90004-3051 | |
| (646) 756-9450 | |
| Not Available |
| Full Name | Balacky Dental Group, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 321 N Larchmont Blvd Ste 613, Los Angeles, California |
| Authorized Official Name and Position | Peter Balacky (PRESIDENT) |
| Authorized Official Contact | 6467569450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balacky Dental Group, P.c. 2108 N St Ste 5621 Sacramento CA 95816-5712 Ph: () - | Balacky Dental Group, P.c. 321 N Larchmont Blvd Ste 613 Los Angeles CA 90004-3051 Ph: (646) 756-9450 |
| NPI Number | 1962254128 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962254128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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