NPI 1265887798

Mary Patricia Balke, RDH

Practitioner Dental Hygienist Holland, MI

Practice location

Address: 285 James Street Intercare Community Health Network, Holland, MI 49424
Phone: (616) 399-0200
Fax: (269) 399-5055
Mailing address: 50 Industrial Park Road, Bangor, MI 49013

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902012896 (MI)

Other Dental Hygienist providers in Michigan →

Registry record

NPI: 1265887798
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2016
Record last updated: 3 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.