| NPI | 1902542863 |
|---|---|
| Former Legal Business Name | BALACI ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRE BALACI Owner 717-273-6745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |