MARTINA BALLAST

NEW YORK, NY
NPI1558481937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  046143)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
Mrs. MARTINA BALLAST DDS
563 W 184TH ST SUITE 1
NEW YORK, NY 10033-4128
Phone number: 212-543-3000
Mailing Address
Mrs. MARTINA BALLAST DDS
7 SLOCUM AVE.
ENGLEWOOD, NJ 07631
Phone number: 201-871-3581