EDUARD BALASANIAN D.D.S. M.D. NPI 1346387362

NPI Information

NPI: 1346387362
Provider Name: EDUARD BALASANIAN, D.D.S., M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
26302 LA PAZ RD
SUITE 102
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 586-7000
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Eduard Balasanian, D.D.S., M.D. is an oral and maxillofacial surgery dentist in Mission Viejo, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Eduard Balasanian, D.D.S., M.D. NPI is 1346387362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26302 LA PAZ RD
SUITE 102
MISSION VIEJO, CA
ZIP 92691-313
Phone: (949) 586-7000
Fax: (949) 586-0158

The enumeration date for this NPI number is 1/31/2007 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	48702	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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