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1740353408
BALLARD DENTAL GROUP
VICKSBURG, MS
NPI
1740353408
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Entity Type
Organization
Authorized Contact
PAUL E BALLARD
Owner
601-634-6277
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MS 2063-84)
Enumeration Date
2006-11-17
Last Update Date
2020-08-22
Business Address
BALLARD DENTAL GROUP
3040 INDIANA AVENUE
VICKSBURG, MS 39180
Phone number: 601-634-6277
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Mailing Address
BALLARD DENTAL GROUP
3040 INDIANA AVENUE
VICKSBURG, MS 39180
Phone number: 601-634-6277
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