MARK ROBERT BALLENTINE

ALLEN PARK, MI
NPI1740309715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  12983)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
Dr. MARK ROBERT BALLENTINE D.D.S.
9815 REECK RD
ALLEN PARK, MI 48101-1356
Phone number: 313-383-8960
Mailing Address
Dr. MARK ROBERT BALLENTINE D.D.S.
9815 REECK RD
ALLEN PARK, MI 48101-1356
Phone number: 313-383-8960
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