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1053635458
MOHANAD BALLANI
FLINT, MI
NPI
1053635458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901020063)
Enumeration Date
2010-03-15
Last Update Date
2010-03-15
Business Address
-- MOHANAD BALLANI
G3538 MILLER RD STE A
FLINT, MI 48507-1271
Phone number: 810-424-0400
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Mailing Address
-- MOHANAD BALLANI
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number: 315-454-6000
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