Balaram Kolasani
Balaram Kolasani is a General Practice Dentistry in Las Cruces, New Mexico. Licensed in New Mexico and Wisconsin. Registered with an NPI since 2022.
- Licensed in
- NM, WI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1160 El Paseo RdLas Cruces, NM 88001-6045
Phone: (575) 652-3084
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6001150-15 (WI) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence DD5648 (NM) |
Record details
| NPI number | 1649907601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 1, 2022 |
| Last updated in NPPES | April 20, 2023 |
| Certification date | April 20, 2023 |
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