Alexandre Balaci, DMD
Dentist, Oral and Maxillofacial Surgery in Lebanon, PA. Individual provider (NPI-1).
NPI number1174514830
StatusActive
Last updated in NPPESMar 16, 2017
Details
- NPI
- 1174514830
- Entity type
- Individual (NPI-1)
- Name
- Alexandre Balaci
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2005
- Last updated
- Mar 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DS028132-L | PA | Yes |
Practice location
860 Tuck StLebanon, PA 17042-7477
Phone 717-273-6745 · Fax 717-273-0009
Mailing address
860 Tuck StLebanon, PA 17042-7477
Phone 717-273-6745 · Fax 717-273-0009
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