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AMIR BALOUCH D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1770968463

Individual Registrant:
 AMIR  BALOUCH D.D.S
Gender: M
Sole Proprietor

Location and contact information for practice:
1305 BEAR MOUNTAIN BLVD  ARVIN, CA 93203-1231 US
Tel: 661-397-8775  Fax: --

Contact information for business:
1305 BEAR MOUNTAIN BLVD  ARVIN, CA 93203-1231 US
Tel: (31-0) -745-9707  Fax: --

Registration Information:
NPI: 1770968463
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA64790

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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