Individual
DR. MICHAEL B BALTHASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1075 BERKSHIRE BLVD, SUITE 950, WYOMISSING, PA 19610-1264
(610) 678-2175
(610) 678-2547
Mailing address
1075 BERKSHIRE BLVD, SUITE 950, WYOMISSING, PA 19610-1264
(610) 678-2175
(610) 678-2547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036512
PA
Other
Enumeration date
10/18/2006
Last updated
11/30/2010
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