Organization
ALEX BALABAN DDS PC
Active
Other names
Carmel Comprehensive Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX BALABAN DDS (PRESIDENT DENTIST)
(317) 575-1995
Entity
Organization
Contact information
Practice address
13590 B NORTH MERIDIAN STREET, STE #101, CARMEL, IN 46032
(317) 575-1995
(317) 575-1995
Mailing address
13590 B NORTH MERIDIAN STREET, STE #101, CARMEL, IN 46032
(317) 575-1995
(317) 575-1995
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
09/29/2006
Last updated
07/03/2008
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