Organization

Mark R Ballentine Dds,pllc

Dentist in Allen Park, MI(View on Map)

Legal Business Name

Mark R Ballentine Dds,pllc

NPI Number

1578708087

NPI Type

Organization

Enumeration Date

12/12/2008

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

D12983

Contact
Information

Purpose

Mailing
Location

Address

9815 REECK RD
9815 REECK RD

City

Allen Park
Allen Park

State

MI
MI

Postal Code

48101-1356
48101-1356

Country

US
US

Telephone Number

(313) 383-8960
(313) 383-8960

Authorized Official

Name

Dr. Mark Ballentine

Title or Position

SOLE OWNER

Telephone Number

(313) 383-8960

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/12/2008

Provider Address

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