Joseph Andrew Balla, DDS Valid NPI

Individual provider · Dentist · Wayne, NJ

NPI

1952521247

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

22DI008910000 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-27

Last updated

2007-07-08