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1124139548
GRAYDON L. BALLARD
SAINT LOUIS, MO
NPI
1124139548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 014416)
Enumeration Date
2006-08-31
Last Update Date
2007-10-30
Business Address
Dr. GRAYDON L. BALLARD DMD
168 N MERAMEC AVE SUITE 102
SAINT LOUIS, MO 63105-3758
Phone number: 314-727-4900
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Mailing Address
Dr. GRAYDON L. BALLARD DMD
168 N MERAMEC AVE SUITE 102
SAINT LOUIS, MO 63105-3758
Phone number: 314-727-4900
Copy
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