Individual
DR. ALEXANDRIA MARIE BALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1636 16TH ST, BOULDER, CO 80302-6356
(720) 546-3575
Mailing address
1636 16TH ST, BOULDER, CO 80302-6356
(720) 546-3575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029829
IL
1223G0001X
General Practice Dentistry
Primary
00203121
CO
Other
Enumeration date
07/14/2014
Last updated
04/26/2022
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