Individual
DR. MELODY BALOBALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, PROSTHODONTIST
Contact information
Practice address
9700 RESEDA BLVD., SUITE 207, NORTHRIDGE, CA 91324-5505
(818) 349-9040
(818) 701-7795
Mailing address
9700 RESEDA BLVD., SUITE 207, NORTHRIDGE, CA 91324-5505
(818) 349-9040
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
46371
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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