RICHARD A. BALLARD

SANDPOINT, ID
NPI1578662375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: ID  D3867OR)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
RICHARD A. BALLARD DDS
1221 MICHIGAN ST
SANDPOINT, ID 83864-1745
Phone number: 208-263-4122
Mailing Address
RICHARD A. BALLARD DDS
1221 MICHIGAN ST
SANDPOINT, ID 83864-1745
Phone number: 208-263-4122
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