| NPI | 1467574376 |
|---|---|
| Doing Business As | BALBOA DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ALINE EKIZIAN Owner Doctor 818-360-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2013-08-19 |