BLAKE BALLENGER

THORNTON, CO
NPI1861845539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CO  DEN.00204239)
Enumeration Date2016-07-19
Last Update Date2020-12-14
Business Address
BLAKE BALLENGER DDS
300 E 128TH AVE
THORNTON, CO 80241-2427
Phone number: 303-451-6767
Mailing Address
BLAKE BALLENGER DDS
300 E 128TH AVE
THORNTON, CO 80241-2427
Phone number: 303-451-6767
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