Dr. PETER ANTHONY BALACKY DDS
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1164881926- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 321 N LARCHMONT BLVD STE 613, LOS ANGELES, CA, 900043051
- Phone
- (323) 465-6451
- Fax
- (323) 465-6446
Specialties & Taxonomies
Oral & Maxillofacial Surgery
License: RI #DEN03707
Oral & Maxillofacial Surgery
License: WY #1666
Oral & Maxillofacial Surgery
License: AZ #D012069
Oral & Maxillofacial Surgery
License: ID #D-5590
Oral & Maxillofacial Surgery
License: OR #D11935
Oral & Maxillofacial Surgery
License: NJ #22DI03009300
Oral & Maxillofacial Surgery
License: NM #DB-2024-0028
Oral & Maxillofacial Surgery
License: IL #19034729
Oral & Maxillofacial Surgery
License: VT #016.0134252
Oral & Maxillofacial Surgery
License: KY #11062
Oral & Maxillofacial Surgery
License: NY #061045
Oral & Maxillofacial Surgery
License: CO #DEN.00205881
Oral & Maxillofacial Surgery
License: HI #DT-3154
Oral & Maxillofacial Surgery
License: VA #401418811
Oral & Maxillofacial Surgery
Primary License: CA #107091