Organization
DENTAL LOUNGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BALSAM (CEO)
(954) 686-5729
Entity
Organization
Contact information
Practice address
2223 SW 2ND ST, POMPANO BEACH, FL 33069-3101
(954) 686-5729
(954) 246-0052
Mailing address
2223 SW 2ND ST, POMPANO BEACH, FL 33069-3101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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