Nicole Veronica Balthazar, DMD

NPI #1730106683 in Forestdale, Massachusetts

Provider Information

NPI Number: 1730106683
Entity Type: Individual
Name: Nicole Veronica Balthazar, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 280 RTE 130
Address 2: BLDG A9
City: Forestdale
State: Massachusetts
ZIP Code: 02644
Phone: (508) 888-3088

Specialties & Taxonomy Codes

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

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