DR. Daniel Vasques Balderrama, DDS

NPI #1154416477 in Marshall, Texas

Provider Information

NPI Number: 1154416477
Entity Type: Individual
Name: DR. Daniel Vasques Balderrama, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2602 S WASHINGTON AVE
City: Marshall
State: Texas
ZIP Code: 75672-7666
Phone: (903) 938-5662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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