Balcos, Celina Michelle

Balcos, Celina Michelle is an individual health care provider with primary practice located at 2339 Lake Harbin Rd , Morrow GA 30260-1905. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Balcos, Celina Michelle can be contacted via phone (770) 961-1222.

Contact Information

Primary practice address
2339 Lake Harbin Rd Morrow GA 30260-1905
Phone: (770) 961-1222
Fax: (770) 961-6121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012100 Georgia

Profile Details

NPI number 1114930567
LBN Legal business name Balcos, Celina Michelle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114930567 NPPES
Georgia Other 1784060 UNITED CONCORDIA
Georgia Other 100272 UNITED CONCORDIA
Georgia Other 9181249 UNITED CONCORDIA

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