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Individual

STEFANIA BALASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
147 UNION AVE, MANASQUAN, NJ 08736-3648
(732) 528-0600
Mailing address
147 UNION AVE, MANASQUAN, NJ 08736-3648
(732) 528-0600

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03018100
NJ
1223G0001X
General Practice Dentistry
38109
TX
1223G0001X
General Practice Dentistry
7096
LA

Other

Enumeration date
02/19/2020
Last updated
03/05/2025
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