Individual
GHEZAL BALKHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38062 MARTHA AVE, FREMONT, CA 94536-3809
(510) 792-9292
(510) 792-9296
Mailing address
1301 STEVENSON BLVD, # 324, FREMONT, CA 94538-2984
(510) 688-9707
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
80318
CA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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