Individual
FEJZIJE BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1432 EASTON RD STE 1C, WARRINGTON, PA 18976-2852
(718) 963-7174
Mailing address
9406 LANSFORD ST # 2F, PHILADELPHIA, PA 19114-2626
(347) 238-5551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041950
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2017
Last updated
03/11/2019
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