Frederick Vernon Ballard JR. D.D.S.

NPI 1003061276 - Dentist - 1223G0001X

NPI Details
NPI 1003061276
Gender Male
Enumeration Date 12/01/2008
Last Updated 12/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3611 BRANCH AVE
SUITE 303
TEMPLE HILLS MD, 20748, US
Phone (301) 702-0081
Fax
Business Location
3611 BRANCH AVE
SUITE 303
TEMPLE HILLS MD, 20748, US
Phone (301) 702-0081
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 14194
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According to our database, Dr. Frederick Vernon Ballard JR. D.D.S. NPI is 1003061276, taxonomy code is 1223G0001X and license number is 14194, license state is located at Maryland. Frederick Vernon Ballard JR. D.D.S. physically located at 3611 Branch Ave, Temple Hills MD, 20748. NPI Number Frederick Vernon Ballard JR. D.D.S. has the Individual type.

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1003061276 NPI number is provided on an as is basis without warranty of any kind. 1003061276 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Vernon Ballard JR. D.D.S. are for informational purposes only.