DR. Lenora G. Balthis, D.M.D.

NPI #1558443481 in Ridgeland, Mississippi

Provider Information

NPI Number: 1558443481
Entity Type: Individual
Name: DR. Lenora G. Balthis, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Oct 19, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 201 GARDEN CV
City: Ridgeland
State: Mississippi
ZIP Code: 39157-3555
Phone: (601) 832-0542

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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