| Lisel-anne Balk, D.m.d., Llc | |
|
5 South St Unit 3 Brighton MA 02135-5111 | |
| (215) 205-5338 | |
| Not Available |
| Full Name | Lisel-anne Balk, D.m.d., Llc |
|---|---|
| Speciality | Dentist |
| Location | 5 South St, Brighton, Massachusetts |
| Authorized Official Name and Position | Lisel-anne Balk (DENTIST) |
| Authorized Official Contact | 2152055338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisel-anne Balk, D.m.d., Llc 50 Staniford St Suite 303 Boston MA 02114-2517 Ph: (617) 523-4555 | Lisel-anne Balk, D.m.d., Llc 5 South St Unit 3 Brighton MA 02135-5111 Ph: (215) 205-5338 |
| NPI Number | 1487197968 |
|---|---|
| Provider Enumeration Date | 12/01/2016 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487197968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1857120 (Massachusetts) | Primary |
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