Individual
DR. DEEPAK BALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., PH.D.
Contact information
Practice address
318 MONTVALE AVE STE 100, WOBURN, MA 01801-4692
(781) 999-1817
(857) 201-4022
Mailing address
318 MONTVALE AVE STE 100, WOBURN, MA 01801-4692
(781) 999-1817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN185085
MA
Other
Enumeration date
01/09/2018
Last updated
08/22/2021
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