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Dr. Jamila Balooch, DDS
Pediatric Dentist in Albany, New York
NPI 1386132959

Jamila Balooch is a Pediatric Dentist based in Glens Falls, NY and is specialized in Pediatric Dentistry. Jamila Balooch practices in Albany, NY and has the professional credentials of DDS. The NPI Number for Jamila Balooch is 1386132959 and holds a License No. (New York).

The current practice location address for Jamila Balooch is 652 Albany Shaker Rd, Albany, NY and can be reached out via phone at 518-798-9966.

Location: 652 Albany Shaker Rd, Albany, NY, 12801-4385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386132959
Provider Name
Jamila Balooch
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
652 Albany Shaker Rd, Albany, NY, 12801-4385
Phone Number
518-798-9966
Fax Number
Provider Enumeration Date
04/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
652 Albany Shaker Rd
City
Albany
State
New York
Zip
12211
Phone Number
518-798-9966
Fax Number
person
Provider Business Mailing Address Details
Address
652 Albany Shaker Rd
City
Albany
State
New York
Zip
12211
Phone Number
518-798-9966
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
061214 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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