Individual
YASMIR SORESMY BALZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 221-6728
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL14700
MA
Other
Enumeration date
03/03/2021
Last updated
01/05/2024
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