PAUL EDWARD BALLARD

VICKSBURG, MS
NPI1285845024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  2063-84)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Dr. PAUL EDWARD BALLARD DMD
3040 INDIANA AVE
VICKSBURG, MS 39180-4355
Phone number: 601-634-6277
Mailing Address
Dr. PAUL EDWARD BALLARD DMD
3040 INDIANA AVE
VICKSBURG, MS 39180-5415
Phone number: 601-634-6277