| NPI | 1700544970 |
|---|---|
| Doing Business As | BALLARD ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | GEORGE BRIDGFORTH Administrator 206-355-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |