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Individual

ZARINA RAE BALILO SICAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
366 W LAKE MEAD PKWY, SUITE 100, HENDERSON, NV 89015-7286
(702) 464-3090
(702) 464-3158
Mailing address
366 W LAKE MEAD PKWY, SUITE 100, HENDERSON, NV 89015-7286
(702) 464-3090
(702) 464-3158

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6373
NV
1223G0001X
General Practice Dentistry
D008322
AZ

Other

Enumeration date
09/09/2011
Last updated
04/04/2013
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