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Individual

DR. CZARINA AL BALOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MHPE

Contact information

Practice address
1039 W FLORENCE AVE, LOS ANGELES, CA 90044
(323) 776-1500
Mailing address
20191 CAPE CORAL LN APT 301, HUNTINGTON BEACH, CA 92646-8516
(714) 914-0689

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401416312
VA
1223G0001X
General Practice Dentistry
Primary
103471
CA

Other

Enumeration date
10/16/2018
Last updated
01/12/2019
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