| Balaze Dental Group | |
|
250 N Robertson Blvd Ste 401 Beverly Hills CA 90211-1789 | |
| (310) 275-4491 | |
| Not Available |
| Full Name | Balaze Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 250 N Robertson Blvd Ste 401, Beverly Hills, California |
| Authorized Official Name and Position | Daniel Brian Balaze (DENTIST OWNER) |
| Authorized Official Contact | 3102754491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balaze Dental Group 250 N Robertson Blvd Ste 401 Beverly Hills CA 90211-1789 Ph: (310) 275-4491 | Balaze Dental Group 250 N Robertson Blvd Ste 401 Beverly Hills CA 90211-1789 Ph: (310) 275-4491 |
| NPI Number | 1477396851 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477396851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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