# ALEXANDER BALIAN,PROFESSIONAL DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902935364
- **Authorized official:** DR. ALEXANDER BALIAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (818) 505-8819

## Contact information

- **Practice address:** 10700 BURBANK BLVD, SUIT 2, NORTH HOLLYWOOD, CA 91601-2513
- **Practice address phone:** (818) 505-8819
- **Mailing address:** 10700 BURBANK BLVD, SUIT 2, NORTH HOLLYWOOD, CA 91601-2513
- **Mailing address phone:** (818) 505-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 34301 | CA | Yes |

## Other

- **Enumeration date:** 03/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 508806 | — | CA |