Individual
MOHANAD BALLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
G3538 MILLER RD, STE A, FLINT, MI 48507-1271
(810) 424-0400
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020063
MI
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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