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
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