DR. Paul Edward Ballard, DMD
NPI #1285845024 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1285845024
- Entity Type
- Individual
- Name
- DR. Paul Edward Ballard, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- May 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3040 INDIANA AVE
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-4355
- Phone
- (601) 634-6277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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