Individual
DR. CELINA MICHELLE BALCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2339 LAKE HARBIN RD, MORROW, GA 30260-1905
(770) 961-1222
(770) 961-6121
Mailing address
2339 LAKE HARBIN RD, MORROW, GA 30260-1905
(770) 961-1222
(770) 961-6121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012100
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100272
AVESIS
GA
01
—
1784060
UNITED CONCORDIA
GA
01
—
9181249
DORAL
GA
Enumeration date
08/15/2006
Last updated
07/08/2007
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