Provider Demographics
NPI:1992824049
Name:BALARIE & MARTINEZ DDS. INC
Entity Type:Organization
Organization Name:BALARIE & MARTINEZ DDS. INC
Other - Org Name:FRIENDLY FAMILY DENTISTRY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSSY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-287-2400
Mailing Address - Street 1:7444 FLORENCE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3600
Mailing Address - Country:US
Mailing Address - Phone:562-287-2400
Mailing Address - Fax:562-287-2162
Practice Address - Street 1:7444 FLORENCE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3600
Practice Address - Country:US
Practice Address - Phone:562-287-2400
Practice Address - Fax:562-287-2162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44338122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty