| NPI | 1851395883 |
|---|---|
| Former Legal Business Name | WILLIAM L. BALANOFF D.D.S. |
| Entity Type | Organization |
| Authorized Contact | WILLIAM L BALANOFF Owner/Dentist/President 954-566-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL FL9534) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |