Daniel Brian Balaze D.M.D.

NPI 1164658506 - Dentist - 1223G0001X

NPI Details
NPI 1164658506
Gender Male
Enumeration Date 05/29/2009
Last Updated 05/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
24300 CHAGRIN BLVD
SUITE 308
BEACHWOOD OH, 44122-5639, US
Phone (216) 292-6883
Fax (216) 464-8638
Business Location
24300 CHAGRIN BLVD
SUITE 308
BEACHWOOD OH, 44122-5639, US
Phone (216) 292-6883
Fax (216) 464-8638
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 30022983
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According to our database, Dr. Daniel Brian Balaze D.M.D. NPI is 1164658506, taxonomy code is 1223G0001X and license number is 30022983, license state is located at Ohio. Daniel Brian Balaze D.M.D. physically located at 24300 Chagrin Blvd, Beachwood OH, 44122-5639. NPI Number Daniel Brian Balaze D.M.D. has the Individual type.

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1164658506 NPI number is provided on an as is basis without warranty of any kind. 1164658506 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Brian Balaze D.M.D. are for informational purposes only.