Individual
DR. SARAH BALASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
324 ELM ST STE 103A, MONROE, CT 06468-2281
(203) 268-2000
Mailing address
112-114 MAIN STREET, ESOPUS, NY 12429
(914) 486-4894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DI02569200
NJ
1223P0300X
Periodontics
058626-1
NY
1223P0300X
Periodontics
Primary
13705
CT
1223P0300X
Periodontics
22DI02569200
NJ
Other
Enumeration date
06/11/2014
Last updated
04/19/2024
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