Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MELODY BALOBALO, DDS, PROSTHODONTIST
Active Sole ProprietorDR. MELODY BALOBALO, DDS, PROSTHODONTIST is a Pediatric Dentistry healthcare provider located in NORTHRIDGE, California. NPI 1639377559 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · NORTHRIDGE, CA
Registration Details
- NPI Number
- 1639377559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2007 (19.125349950656 yrs)
- Last Updated
- Jul 8, 2007
- License
-
46371 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9700 RESEDA BLVD.SUITE 207NORTHRIDGE, CA, 913245505Browse CA providers · Browse ZIP 91324
- Phone
- 8183499040
- Fax
- 8187017795
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.