Individual
PABLO GONZALEZ BALZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
5723 NE BOTHELL WAY, STE C, KENMORE, WA 98028-9404
(425) 486-9111
(425) 489-1923
Mailing address
9225 122ND CT NE, #K506, KIRKLAND, WA 98033-5889
(617) 642-3932
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE10694
WA
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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