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1558481937
MARTINA BALLAST
NEW YORK, NY
NPI
1558481937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 046143)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Mrs. MARTINA BALLAST DDS
563 W 184TH ST SUITE 1
NEW YORK, NY 10033-4128
Phone number: 212-543-3000
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Mailing Address
Mrs. MARTINA BALLAST DDS
7 SLOCUM AVE.
ENGLEWOOD, NJ 07631
Phone number: 201-871-3581
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