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DR. KRISHNAN R BALA D D S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1811103369

Individual Registrant:
DR. KRISHNAN R BALA D D S
Gender: M
Sole Proprietor

Location and contact information for practice:
10503 W THUNDERBIRD BLVD 309 SUN CITY, AZ 85351-3022 US
Tel: 623-977-6402  Fax: 623-977-9521

Contact information for business:
8738 E WHISPERING WIND DR  SCOTTSDALE, AZ 85255-2892 US
Tel: 480-628-4011  Fax: --

Registration Information:
NPI: 1811103369
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AZAZ2627

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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