NPI 1366657322

Eric Stephen Balliet, DDS

Practitioner Dentist Georgetown, DE

Practice location

Address: 212 W Market St, Georgetown, DE 19947-1441
Phone: (302) 856-3374

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE0001090 (DE)

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Registry record

NPI: 1366657322
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2007
Record last updated: 8 Jul 2007

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.