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DR. MICHAEL JOHN BALLARD DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1972660884

Individual Registrant:
DR. MICHAEL JOHN BALLARD DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
716 SUPERIOR AVE  GLADSTONE, MI 49837-1751 US
Tel: 906-428-2321  Fax: 906-428-9499

Contact information for business:
716 SUPERIOR AVE.  GLADSTONE, MI 49837-1751 US
Tel: 906-428-2321  Fax: 906-428-9499

Registration Information:
NPI: 1972660884
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
MI015311

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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