ERIC BALLOU

BOISE, ID
NPI1952561003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4142)
Enumeration Date2008-06-12
Last Update Date2024-02-12
Business Address
ERIC BALLOU DDS
5355 W STATE ST
BOISE, ID 83703-3333
Phone number: 208-853-4687
Mailing Address
ERIC BALLOU DDS
5355 W STATE ST
BOISE, ID 83703-3333
Phone number: 208-853-4687
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