JACK WILLIAM BALENSEIFEN

BETHANY, OK
NPI1053485433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OK  3042)
Enumeration Date2006-11-20
Last Update Date2007-07-09
Business Address
Dr. JACK WILLIAM BALENSEIFEN DDS, MS.
7505 NW 23RD ST
BETHANY, OK 73008-4941
Phone number: 405-789-6772
Mailing Address
Dr. JACK WILLIAM BALENSEIFEN DDS, MS.
7505 NW 23RD ST
BETHANY, OK 73008-4941
Phone number: 405-789-6772
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