DR. Gary Lee Balzano, D.D.S.

NPI #1487738381 in Tucumcari, New Mexico

Provider Information

NPI Number
1487738381
Entity Type
Individual
Name
DR. Gary Lee Balzano, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
305 E WASHINGTON AVE
ZIP Code
88401-3873
Phone
(505) 461-2400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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