Richard Lee Ballentine, D.M.D.
NPI #1003072638 in San Antonio, Texas
Provider Information
- NPI Number
- 1003072638
- Entity Type
- Individual
- Name
- Richard Lee Ballentine, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- D.M.D.
- Enumeration Date
- Aug 4, 2008
- Last Updated
- Aug 4, 2008
Practice Location
- Address
- 4502 MEDICAL DR
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78229-4402
- Phone
- (210) 358-2015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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