RONALDO S BALBOA , M.D. in PORT HURON - NPI - 1417941055
RONALDO S BALBOA is a dentist based out of PORT HURON,Michigan RONALDO practices in PORT HURON,Michigan and has the professional credentials of M.D. .The NPI Number for RONALDO S BALBOA is 1417941055 and he holds a Licence No. RB028997(Michigan).
RONALDO current practice location address is 1201 STONE ST,STE. 5,PORT HURON,Michigan and he can be reached out via phone at 8109669556 and via fax at8109664898. You can also correspond with RONALDO S BALBOA through mail at his mailing address at1201 STONE ST,STE. 5,PORT HURON,Michigan – 480603563 (mailing address contact number – 480603563).
Provider Profile Details
| NPI Number | 1417941055 |
| Provider Name | RONALDO S BALBOA |
| M.D. | |
| Gender | 39981 |
| Provider Entity Type | Individual |
| Provider Enumeration Date | 207R00000X |
| Last Update Date | 38604 |
Provider Business Mailing Address Details
| Address | 1201 STONE ST,STE. 5 |
| City | PORT HURON |
| State | Michigan |
| Zip | 480603563 |
| Phone Number | 8109669556 |
Provider Business Practice Location Address Details
| Address | 1201 STONE ST,STE. 5 |
| City | PORT HURON |
| State | Michigan |
| Zip | 480603563 |
| Phone Number | 8109669556 |
Provider's Primary Taxonomy Details
| Taxonomy | 207R00000X |
| License No. | RB028997 |
| State | Michigan |