GEORGE ROBERT BALLEW

BROKEN ARROW, OK
NPI1922148345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OK  4805)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
DR. GEORGE ROBERT BALLEW DDS
110 N 1ST ST
BROKEN ARROW, OK 74012-3945
Phone number: 918-258-1547
Mailing Address
DR. GEORGE ROBERT BALLEW DDS
110 N 1ST ST
BROKEN ARROW, OK 74012-3945
Phone number: 918-258-1547