William M Ballance Dds

NPI 1053507400 - Dentist - 122300000X

NPI Details
NPI 1053507400
Enumeration Date 09/19/2007
Last Updated 09/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM M WILLIAM
Position DENTIST OWNER SOLE PROPRIETOR
Phone (804) 732-1278
Fax
Practice Location
1964 WAKEFIELD STREET
PETERSBURG VA, 23805, US
Phone (804) 732-1278
Fax
Business Location
1964 WAKEFIELD STREET
PETERSBURG VA, 23805, US
Phone (804) 732-1278
Fax
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401004200VA
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According to our database, William M Ballance Dds NPI is 1053507400, taxonomy code is 122300000X and license number is 0401004200VA, license state is located at Virginia. William M Ballance Dds physically located at 1964 Wakefield Street, Petersburg VA, 23805. NPI Number 1033115704 has the healthcare provider type.

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1053507400 NPI number is provided on an as is basis without warranty of any kind. 1053507400 is maintained by the National Plan & Provider Enumeration System. The contents of William M Ballance Dds are for informational purposes only.