# BERRIEN DENTAL PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Berrien Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003425513
- **Authorized official:** DR. ERIC MICHAEL BALSIS DDS (OWNER)
- **Authorized official phone:** (269) 471-4055

## Contact information

- **Practice address:** 8383 M 139, BERRIEN SPRINGS, MI 49103-9001
- **Practice address phone:** (269) 471-4055
- **Practice address fax:** (269) 471-3829
- **Mailing address:** 8383 M 139, BERRIEN SPRINGS, MI 49103-9001
- **Mailing address phone:** (269) 471-4055
- **Mailing address fax:** (269) 471-3829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2020
- **Last updated:** 07/30/2020