Individual
PIERLUIGI BALICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MDENTSC
Contact information
Practice address
650 E 25TH ST # 277, KANSAS CITY, MO 64108-2716
(816) 235-2121
Mailing address
1444 GRAND BLVD APT 2014, KANSAS CITY, MO 64106-2986
(860) 957-7656
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2018043096
MO
Other
Enumeration date
07/28/2015
Last updated
12/13/2018
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