Provider Demographics
NPI:1669560710
Name:BALSKI, JULIANN (DDS)
Entity type:Individual
Prefix:
First Name:JULIANN
Middle Name:
Last Name:BALSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 PEARL ROAD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-3405
Mailing Address - Country:US
Mailing Address - Phone:330-225-6151
Mailing Address - Fax:330-225-0055
Practice Address - Street 1:1625 PEARL ROAD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3405
Practice Address - Country:US
Practice Address - Phone:330-225-6151
Practice Address - Fax:330-225-0055
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20134122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist