Organization
EMERY K TOTH DDS & ANDREA E BALLA DDS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BALLA DDS (OWNER/ DENTIST)
(313) 277-2107
Entity
Organization
Contact information
Practice address
5760 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3241
(313) 277-2107
(313) 436-0076
Mailing address
5760 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3241
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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