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1427174929
MADELYN LEE BALLARD
BERKELEY, CA
NPI
1427174929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 38028)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- MADELYN LEE BALLARD DMD
3031 TELEGRAPH AVENUE SUITE 108
BERKELEY, CA 94705-2052
Phone number: 510-845-2350
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Mailing Address
-- MADELYN LEE BALLARD DMD
3031 TELEGRAPH AVENUE SUITE 108
BERKELEY, CA 94705-2052
Phone number: 510-845-2350
Copy
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