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1073159596
ALI BALOUCH
PANORAMA CITY, CA
NPI
1073159596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 60521)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
ALI BALOUCH DDS
8628 VAN NUYS BLVD # 200
PANORAMA CITY, CA 91402-2913
Phone number: 818-396-3999
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Mailing Address
ALI BALOUCH DDS
1435 ANDENES DR
GLENDALE, CA 91208-1910
Phone number: 818-396-3999
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