Dr. George Michael Balach I, D.D.S.
Dentist, General Practice in Duluth, MN. Individual provider (NPI-1).
NPI number1316968340
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1316968340
- Entity type
- Individual (NPI-1)
- Name
- Dr. George Michael Balach I
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | MN8156 | MO | Yes |
Practice location
5805 Grand AveDuluth, MN 55807-2459
Phone 218-624-5965 · Fax 218-624-4628
Mailing address
5805 Grand AveDuluth, MN 55807-2459
Phone 218-624-5965 · Fax 218-624-4628
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