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Individual

EDUARD BALASANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

Contact information

Practice address
26302 LA PAZ RD, SUITE 102, MISSION VIEJO, CA 92691-5313
(949) 586-7000
(949) 586-0158
Mailing address
26302 LA PAZ RD, SUITE 102, MISSION VIEJO, CA 92691-5313
(949) 586-7000
(949) 586-0158

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
48702
CA

Other

Enumeration date
01/31/2007
Last updated
11/07/2013
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