TIFFANY BALLARD

GARY, IN
NPI1861034076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IN  13007024A)
Enumeration Date2019-10-09
Last Update Date2019-10-09
Business Address
TIFFANY BALLARD LDH
3229 BROADWAY STE 115
GARY, IN 46409-1040
Phone number: 219-806-3000
Mailing Address
TIFFANY BALLARD LDH
2673 W 86TH AVE
MERRILLVILLE, IN 46410-6948
Phone number: 317-629-9014
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