Sofia J Baltazar DDS INC

NPI #1871663674 in Newhall, California

Provider Information

NPI Number: 1871663674
Entity Type: Organization
Organization Name: Sofia J Baltazar DDS INC
Primary Specialty: Dentist
Enumeration Date: Nov 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 24264 SAN FERNANDO RD
City: Newhall
State: California
ZIP Code: 91321-2911
Phone: (661) 290-2825

Authorized Official

Name: SOFIA J BALTAZAR, DDS
Title: PRESIDENT
Phone: (661) 290-2825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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