John W Balaban, DDS

NPI #1992887392 in Gary, West Virginia

Provider Information

NPI Number: 1992887392
Entity Type: Individual
Name: John W Balaban, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: ROUTE 103, SUPPLY ST
City: Gary
State: West Virginia
ZIP Code: 24836
Phone: (304) 448-2101

Specialties & Taxonomy Codes

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

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