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Individual

DR. GREGORY J BALAES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
932 WOODROW RD, STATEN ISLAND, NY 10312
(718) 747-8711
Mailing address
932 WOODROW RD, STATEN ISLAND, NY 10312
(718) 747-8711

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059987
NY

Other

Enumeration date
02/12/2017
Last updated
05/08/2019
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