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Organization

ANA C BALICA D.D.S

Active
Other names
STEINWAY NATURAL DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANA C BALICA D.D.S. (OWNER)
(718) 545-7175
Entity
Organization

Contact information

Practice address
3149 STEINWAY ST, 2ND FLOOR, ASTORIA, NY 11103-3908
(718) 545-7175
(718) 545-7175
Mailing address
3149 STEINWAY ST, 2ND FLOOR, ASTORIA, NY 11103-3908
(718) 545-7175
(718) 545-7175

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045366
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01491643
NY
Enumeration date
02/15/2007
Last updated
04/23/2008
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