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1386677961
BALLANCE & DEROSE DDS PA
FAYETTEVILLE, NC
NPI
1386677961
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Entity Type
Organization
Authorized Contact
MICHAEL ANTHONY DEROSE
Owner
336-777-0303
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-07-08
Last Update Date
2020-08-22
Business Address
BALLANCE & DEROSE DDS PA
1400 WALTER REED RD SUITE 200
FAYETTEVILLE, NC 28304-4409
Phone number: 910-864-9884
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Mailing Address
BALLANCE & DEROSE DDS PA
2041 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-5147
Phone number: 336-777-0303
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