Ballance & Derose DDS PA

NPI #1053344630 in Greensboro, North Carolina

Provider Information

NPI Number
1053344630
Entity Type
Organization
Organization Name
Ballance & Derose DDS PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
900 SUMMIT AVE
ZIP Code
27405-7918
Phone
(336) 370-1112

Authorized Official

Name
DR. MICHAEL ANTHONY DEROSE, DDS
Title
OWNER
Phone
(336) 777-0303

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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