Individual
DR. JAMILA BALOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
652 ALBANY SHAKER RD, ALBANY, NY 12211
(518) 798-9966
Mailing address
88 BROAD ST, GLENS FALLS, NY 12801-4385
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061214
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2018
Last updated
05/04/2022
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