Organization
ALEXANDER BALIAN,PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER BALIAN D.D.S. (PRESIDENT)
(818) 505-8819
Entity
Organization
Contact information
Practice address
10700 BURBANK BLVD, SUIT 2, NORTH HOLLYWOOD, CA 91601-2513
(818) 505-8819
Mailing address
10700 BURBANK BLVD, SUIT 2, NORTH HOLLYWOOD, CA 91601-2513
(818) 505-8819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508806
—
CA
Enumeration date
03/03/2007
Last updated
08/22/2020
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