| NPI | 1669858122 |
|---|---|
| Doing Business As | BALLARD MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J MCGLASHAN Owner 206-783-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |