Lisel Balk, DMD

NPI #1013270172 in Boston, Massachusetts

Provider Information

NPI Number: 1013270172
Entity Type: Individual
Name: Lisel Balk, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 22, 2012
Last Updated: Mar 20, 2017

Practice Location

Address: 50 STANIFORD ST STE 303
City: Boston
State: Massachusetts
ZIP Code: 02114-2542
Phone: (617) 523-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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