Provider Demographics
NPI:1700905866
Name:BALARIE, CHRISTIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:BALARIE
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 1:7444 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:714-256-4687
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:714-256-4687
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45226122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist