ELLEN VANDERGUST BALLARD

WHITE ROCK, NM
NPI1649452129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  1668)
Enumeration Date2007-11-27
Last Update Date2007-11-27
Business Address
-- ELLEN VANDERGUST BALLARD DDS
111 LONGVIEW SUITE B-3
WHITE ROCK, NM 87544
Phone number: 505-672-2020
Mailing Address
-- ELLEN VANDERGUST BALLARD DDS
111 LONGVIEW SUITE B-3
WHITE ROCK, NM 87544
Phone number: 505-672-2020