Individual
ANA C BALICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3149 STEINWAY ST, 2ND FLOOR, ASTORIA, NY 11103-3908
(718) 545-7175
(718) 545-7175
Mailing address
3149 STEINWAY ST, 2ND FLOOR, ASTORIA, NY 11103-3908
(718) 545-7175
(718) 545-7175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01491643
—
NY
Enumeration date
05/12/2008
Last updated
05/12/2008
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