Individual
DR. PETER BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
(575) 572-3742
Mailing address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2028
NM
Other
Enumeration date
01/09/2006
Last updated
04/17/2012
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