Madelyn Lee Ballard, DMD

NPI #1427174929 in Berkeley, California

Provider Information

NPI Number: 1427174929
Entity Type: Individual
Name: Madelyn Lee Ballard, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3031 TELEGRAPH AVENUE
Address 2: SUITE 108
City: Berkeley
State: California
ZIP Code: 94705-2052
Phone: (510) 845-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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