Ballance & Derose DDS PA
NPI #1386677961 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1386677961
- 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
- 1400 WALTER REED RD
- Address 2
- SUITE 200
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28304-4409
- Phone
- (910) 864-9884
Authorized Official
- Name
- DR. MICHAEL ANTHONY DEROSE, DDS
- Title
- OWNER
- Phone
- (336) 777-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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