Kool Koala Pediatric and Adolescent Dentistry
NPI #1295112043 in Collingswood, New Jersey
Provider Information
- NPI Number
- 1295112043
- Entity Type
- Organization
- Organization Name
- Kool Koala Pediatric and Adolescent Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 30, 2015
- Last Updated
- Apr 30, 2015
Practice Location
- Address
- 501 WHITEHORSE PIKE
- City
- Collingswood
- State
- New Jersey
- ZIP Code
- 08107
- Phone
- (856) 230-0924
Authorized Official
- Name
- DR. FREDERICK VERNON BALLARD JR., DDS
- Title
- CEO
- Phone
- (856) 230-0924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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