| Balboa Dental Group And Orthodontics | |
|
11850 1/2 Balboa Blvd Granada Hills CA 91344-2753 | |
| (818) 360-1946 | |
| (818) 360-3065 |
| Full Name | Balboa Dental Group And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11850 1/2 Balboa Blvd, Granada Hills, California |
| Authorized Official Name and Position | Aline Ekizian (OWNER DOCTOR) |
| Authorized Official Contact | 8183601946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balboa Dental Group And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Balboa Dental Group And Orthodontics 11850 1/2 Balboa Blvd Granada Hills CA 91344-2753 Ph: (818) 360-1946 |
| NPI Number | 1467574376 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467574376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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