| NPI | 1871951715 |
|---|---|
| Doing Business As | BALLANTYNE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARK TADRISSI Owner 704-541-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: NC 9377) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: NC 8485) |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2016-02-07 |