Individual
DR. MARK WILLIAM BALENSEIFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
415 E MAIN ST STE 4, YUKON, OK 73099-2259
(405) 467-4092
(405) 467-4429
Mailing address
415 E MAIN ST STE 4, YUKON, OK 73099-2259
(405) 467-4092
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5210
OK
Other
Enumeration date
12/05/2006
Last updated
03/26/2024
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