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1013270172
LISEL BALK
BOSTON, MA
NPI
1013270172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA DN1857120)
Enumeration Date
2012-06-22
Last Update Date
2017-03-20
Business Address
-- LISEL BALK DMD
50 STANIFORD ST STE 303
BOSTON, MA 02114-2542
Phone number: 617-523-4555
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Mailing Address
-- LISEL BALK DMD
5 SOUTH ST UNIT 3
BRIGHTON, MA 02135-5111
Phone number:
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