Provider Demographics
NPI:1407261308
Name:BALAZADEH, HONEY (DMD)
Entity Type:Individual
Prefix:
First Name:HONEY
Middle Name:
Last Name:BALAZADEH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:HONEY
Other - Middle Name:
Other - Last Name:BALAZADEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13529 RAND DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-4740
Mailing Address - Country:US
Mailing Address - Phone:818-808-2070
Mailing Address - Fax:
Practice Address - Street 1:18279 SOLEDAD CANYON RD
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-3533
Practice Address - Country:US
Practice Address - Phone:661-299-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1045241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice