JAMES LOGAN BALLARD

LA PORTE, IN
NPI1831259019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  6916)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
Mr. JAMES LOGAN BALLARD DDS
1702 A STREET
LA PORTE, IN 46350-5925
Phone number: 219-362-8980
Mailing Address
Mr. JAMES LOGAN BALLARD DDS
1702 A STREET
LA PORTE, IN 46350-5925
Phone number: 219-362-8980
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