Individual
AMIR BALOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1305 BEAR MOUNTAIN BLVD, ARVIN, CA 93203-1231
(661) 397-8775
Mailing address
1305 BEAR MOUNTAIN BLVD, ARVIN, CA 93203-1231
(310) 745-9707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64790
CA
Other
Enumeration date
07/23/2015
Last updated
07/21/2022
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