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Individual

DR. SAMIR BALANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6301 WEST CERMAK, BERWYN, IL 60402-2368
(708) 956-7516
Mailing address
1255 SOUTH STATE ST, #1902, CHICAGO, IL 60605-1932
(630) 915-4046

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028291
IL

Other

Enumeration date
06/17/2010
Last updated
06/17/2010
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