Organization
BALONEK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK T BALONEK DDS (PRESIDENT)
(585) 426-3050
Entity
Organization
Contact information
Practice address
513 BEAHAN RD, ROCHESTER, NY 14624-3403
(585) 426-3050
Mailing address
513 BEAHAN RD, ROCHESTER, NY 14624-3403
(585) 426-3050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041559
NY
Other
Enumeration date
02/01/2007
Last updated
06/17/2013
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