Individual
ANURADHA BALAGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6822 VAN NUYS BLVD, VAN NUYS, CA 91405-4625
(747) 377-4601
Mailing address
6822 VAN NUYS BLVD, VAN NUYS, CA 91405-4625
(443) 944-7250
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
110054
CA
Other
Enumeration date
04/06/2022
Last updated
08/21/2024
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