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DR. AMRIT BALA DDS
Pediatric Dentistry >> Dentist >> Dental ProvidersRegistrant NPI Number: 1447505417
Individual Registrant:DR. AMRIT BALA DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
500 ALFRED NOBEL DR STE 180 HERCULES, CA 94547-1842 US
Tel: 510-964-7337 Fax: --
Tel: 510-964-7337 Fax: --
Contact information for business:
500 ALFRED NOBEL DR STE 180 HERCULES, CA 94547-1842 US
Tel: 510-964-7337 Fax: --
Tel: 510-964-7337 Fax: --
Registration Information:
NPI: 1447505417
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223P0221X | Dental Providers Dentist Pediatric Dentistry | CA | 63527 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
