Javier De La Fuente Balboa, DDS is a student in an organized health care education training program in Rochester, NY. The provider is 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. Javier De La Fuente Balboa, DDS NPI is 1053873851. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
625 ELMWOOD AVE # 683
ROCHESTER, NY
ZIP 14620-913
Phone: (585) 275-8315
The enumeration date for this NPI number is 4/2/2019 and was last updated on 4/2/2019.