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Organization
BALAZE DENTAL GROUP
Active
Organization
BALAZE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BRIAN BALAZE DMD (DENTIST OWNER)
(310) 275-4491
Entity
Organization
Contact information
Practice address
250 N ROBERTSON BLVD STE 401, BEVERLY HILLS, CA 90211-1789
(310) 275-4491
Mailing address
250 N ROBERTSON BLVD STE 401, BEVERLY HILLS, CA 90211-1789
(310) 275-4491
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
07/25/2024
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