Individual provider · Type 1 NPI

Mark Robert Ballentine, DDS

General Practice Dentistry · Allen Park, MI

NPI number 1740309715 Active

About NPI 1740309715

Mark Robert Ballentine, DDS's National Provider Identifier is 1740309715, issued on Mar 28, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Allen Park, MI. The record was last updated on Jul 8, 2007.