Mahoney and Ballard Dmd INC

NPI #1104049618 in Saint Louis, Missouri

Provider Information

NPI Number: 1104049618
Entity Type: Organization
Organization Name: Mahoney and Ballard Dmd INC
Primary Specialty: Dentist
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 720 OLIVE STREET
Address 2: SUITE 1700
City: Saint Louis
State: Missouri
ZIP Code: 63101
Phone: (314) 241-4232

Authorized Official

Name: MS. PAULINE R RAY
Title: OFFICE MANAGER
Phone: (314) 241-4232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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