MARK R BALLENTINE DDS,PLLC

ALLEN PARK, MI
NPI1578708087
Entity TypeOrganization
Authorized ContactMARK ROBERT BALLENTINE
Sole Owner
313-383-8960
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  D12983)
Enumeration Date2008-12-12
Last Update Date2008-12-12
Business Address
MARK R BALLENTINE DDS,PLLC
9815 REECK RD
ALLEN PARK, MI 48101-1356
Phone number: 313-383-8960
Mailing Address
MARK R BALLENTINE DDS,PLLC
9815 REECK RD
ALLEN PARK, MI 48101-1356
Phone number: 313-383-8960
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