Robert G. Balen D.m.d., Ltd.

NPI #1871821793 in Hillsboro, Illinois

Provider Information

NPI Number: 1871821793
Entity Type: Organization
Organization Name: Robert G. Balen D.m.d., Ltd.
Primary Specialty: Dentist
Enumeration Date: Dec 4, 2009
Last Updated: Dec 4, 2009

Practice Location

Address: 235 N BROAD ST
City: Hillsboro
State: Illinois
ZIP Code: 62049-1213
Phone: (217) 532-5555

Authorized Official

Name: DR. ROBERT G BALEN, D.M.D.
Title: PRESIDENT
Phone: (217) 532-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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