Balzano, Gary Lee

Balzano, Gary Lee is an sole proprietor health care provider with primary practice located at 305 E Washington Ave , Tucumcari NM 88401-3873. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Balzano, Gary Lee can be contacted via phone (505) 461-2400.

Contact Information

Primary practice address
305 E Washington Ave Tucumcari NM 88401-3873
Fax: (505) 461-2400
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1392 New Mexico

Profile Details

NPI number 1487738381
LBN Legal business name Balzano, Gary Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 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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