Organization
BALACKY DENTAL GROUP, P.C.
Active
Other names
Daybreak Dental of California, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BALACKY DDS (PRESIDENT)
(646) 756-9450
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD STE 613, LOS ANGELES, CA 90004-3051
(646) 756-9450
Mailing address
2108 N ST STE 5621, SACRAMENTO, CA 95816-5712
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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