| NPI | 1245668631 |
|---|---|
| Other Name | BALLARD ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BARNES Manager 206-783-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE00006884) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |