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Richard A Ballard Dds Pc
Dental Clinic/Center in Sandpoint, Idaho
NPI 1518125640

Richard A Ballard Dds Pc is a Dental Clinic/Center based in Sandpoint, ID and is specialized in Dental. Richard A Ballard Dds Pc practices in Sandpoint, ID. The NPI Number for Richard A Ballard Dds Pc is 1518125640 and holds a License No. D3867OR (Idaho).

The current practice location address for Richard A Ballard Dds Pc is 301 S Division Street, Sandpoint, ID and can be reached out via phone at 208-263-4122 and via fax at 208-263-2082.

Location: 301 S Division Street, Sandpoint, ID, 83864-1745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518125640
Provider Name
Richard A Ballard Dds Pc
Credential
Provider Entity Type
Organization
Address
301 S Division Street, Sandpoint, ID, 83864-1745
Phone Number
208-263-4122
Fax Number
208-263-2082
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 S Division Street
City
Sandpoint
State
Idaho
Zip
83864-1745
Phone Number
208-263-4122
Fax Number
208-263-2082
person
Provider Business Mailing Address Details
Address
301 S Division Street
City
Sandpoint
State
Idaho
Zip
83864-1745
Phone Number
208-263-4122
Fax Number
208-263-2082
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D3867OR (Idaho)
Definition
Definition to come...
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