PABLO GONZALEZ BALZAR DDS, MS - NPI 1922120377

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Pablo Gonzalez Balzar Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PABLO GONZALEZ BALZAR DDS, MS (NPI 1922120377) is an individual periodontics provider in Kenmore, Washington, licensed in Washington (DE10694) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1922120377

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NamePABLO GONZALEZ BALZARCredential: DDS, MS

Location Address5723 NE BOTHELL WAY, STE CKenmore, WA 98028-9404

Mailing Address9225 122nd Ct Ne, #k506Kirkland, WA 98033-5889 · (617) 642-3932

Phone(425) 486-9111

Fax(425) 489-1923

Sole ProprietorNo

Enumeration DateApril 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922120377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in WA · DE10694

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

5723 NE BOTHELL WAY, Kenmore, WA 98028

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