Mia Balsom, DMD
NPI #1124637301 in Keene, New Hampshire
Provider Information
- NPI Number
- 1124637301
- Entity Type
- Individual
- Name
- Mia Balsom, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 23, 2020
- Last Updated
- Jul 23, 2020
Practice Location
- Address
- 342 WINCHESTER ST
- City
- Keene
- State
- New Hampshire
- ZIP Code
- 03431-3936
- Phone
- (844) 301-8203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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