Individual
DR. ANDREW JAMES BALAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
306 W WASHINGTON AVE STE 205, JACKSON, MI 49201-2141
(517) 787-5055
Mailing address
306 W WASHINGTON AVE STE 205, JACKSON, MI 49201-2141
(517) 787-5055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020967
MI
332B00000X
Durable Medical Equipment & Medical Supplies
2901020967
MI
Other
Enumeration date
06/16/2013
Last updated
08/07/2019
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