Provider Demographics
NPI:1396856951
Name:JULIANN R. DEMAND-BALSKI DDS INC.
Entity Type:Organization
Organization Name:JULIANN R. DEMAND-BALSKI DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIANN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-225-6151
Mailing Address - Street 1:1625 PEARL RD
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 RD
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20134122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty