| NPI | 1891395562 |
|---|---|
| Doing Business As | BALTAZAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | FELICIA BALTAZAR Owner 413-538-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |