GRAYDON L. BALLARD

SAINT LOUIS, MO
NPI1124139548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  014416)
Enumeration Date2006-08-31
Last Update Date2007-10-30
Business Address
Dr. GRAYDON L. BALLARD DMD
168 N MERAMEC AVE SUITE 102
SAINT LOUIS, MO 63105-3758
Phone number: 314-727-4900
Mailing Address
Dr. GRAYDON L. BALLARD DMD
168 N MERAMEC AVE SUITE 102
SAINT LOUIS, MO 63105-3758
Phone number: 314-727-4900