Provider Demographics
NPI:1316067911
Name:BALCI, AREK (DDS)
Entity type:Individual
Prefix:DR
First Name:AREK
Middle Name:
Last Name:BALCI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16440 VANOWEN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE BALBOA
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4729
Mailing Address - Country:US
Mailing Address - Phone:818-779-4900
Mailing Address - Fax:818-465-2753
Practice Address - Street 1:16440 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:LAKE BALBOA
Practice Address - State:CA
Practice Address - Zip Code:91406-4729
Practice Address - Country:US
Practice Address - Phone:818-779-4900
Practice Address - Fax:818-465-2753
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42632122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist