| Full Name | Ballo Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23105 Van Dyke Ave, Warren, Michigan |
| Authorized Official Name and Position | Nasem Ballo (DOCTOR/OWNER) |
| Authorized Official Contact | 5867595353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballo Dds Pc 23105 Van Dyke Ave Warren MI 48089-1622 Ph: (586) 759-5353 | Ballo Dds Pc 23105 Van Dyke Ave Warren MI 48089-1622 Ph: (586) 759-5353 |
| NPI Number | 1174135149 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174135149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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