Balla, Andrea Elisabeth

Balla, Andrea Elisabeth is an individual health care provider with primary practice located at 5760 N Telegraph Rd , Dearborn Heights MI 98127. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Balla, Andrea Elisabeth can be contacted via phone (313) 277-2107.

Contact Information

Primary practice address
5760 N Telegraph Rd Dearborn Heights MI 98127
Phone: (313) 277-2107
Fax: (313) 277-2108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901014594 Michigan

Profile Details

NPI number 1528289527
LBN Legal business name Balla, Andrea Elisabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528289527 NPPES
Michigan Other 1958214590 BLUE CROSS BLUE SHIELD

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