Individual
JOANNA BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9303 SEMINOLE BLVD STE D, SEMINOLE, FL 33772-3100
(727) 548-5454
Mailing address
1204 E CUMBERLAND AVE UNIT 430, TAMPA, FL 33602-4233
(561) 537-6763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22775
FL
Other
Enumeration date
07/25/2017
Last updated
04/26/2021
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