| NPI | 1629290283 |
|---|---|
| Doing Business As | ELLEN BALLARD DDS |
| Entity Type | Organization |
| Authorized Contact | ELLEN VANDERGUST BALLARD President Wildwind Dental 505-672-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM 1668) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |