Individual provider · Type 1 NPI

Phillip Anthony Balseca, DMD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1235760760 Active

Practice location

4150 Clement St
San Francisco, CA 94121-1563

Mailing address

804 Willowbrook Rd
Staten Island, NY 10314-4265

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235760760

Phillip Anthony Balseca, DMD's National Provider Identifier is 1235760760, issued on Feb 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Feb 3, 2020.