Individual
DR. ALEX M BALABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13590 B N. MERIDIAN ST., SUITE #101, CARMEL, IN 46032
(317) 575-1995
(317) 575-1998
Mailing address
13590 B N. MERIDIAN ST., SUITE #101, CARMEL, IN 46032
(317) 575-1995
(317) 575-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010434A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200387710A
—
IN
Enumeration date
07/06/2009
Last updated
07/06/2009
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