Provider Demographics
NPI:1750574505
Name:BALBER, ARNOLD ROGER (DDS)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:ROGER
Last Name:BALBER
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 1:6325 TOPANGA CYN BLVD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:WOODLANDS HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:818-348-1494
Mailing Address - Fax:818-592-0406
Practice Address - Street 1:6325 TOPANGA CYN BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:WOODLANDS HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367
Practice Address - Country:US
Practice Address - Phone:818-348-1494
Practice Address - Fax:818-592-0406
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28647122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist