Mark R Ballentine Dds,pllc
NPI #1578708087 in Allen Park, Michigan
Provider Information
- NPI Number
- 1578708087
- Entity Type
- Organization
- Organization Name
- Mark R Ballentine Dds,pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 12, 2008
- Last Updated
- Dec 12, 2008
Practice Location
- Address
- 9815 REECK RD
- City
- Allen Park
- State
- Michigan
- ZIP Code
- 48101-1356
- Phone
- (313) 383-8960
Authorized Official
- Name
- DR. MARK ROBERT BALLENTINE, DDS,PLLC
- Title
- SOLE OWNER
- Phone
- (313) 383-8960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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