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Organization
BALACKY DENTAL GROUP, P.C.
Active
Organization
BALACKY DENTAL GROUP, P.C.
Active
Other names
Daybreak Dental of California, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BALACKY DDS (PRESIDENT)
(646) 756-9450
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD STE 613, LOS ANGELES, CA 90004-3051
(646) 756-9450
Mailing address
2108 N ST STE 5621, SACRAMENTO, CA 95816-5712
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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