MR. Patrick Thomas Ballard, DDS

NPI #1578623773 in Mendota Heights, Minnesota

Provider Information

NPI Number: 1578623773
Entity Type: Individual
Name: MR. Patrick Thomas Ballard, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 750 S PLAZA DR
Address 2: STE 316
City: Mendota Heights
State: Minnesota
ZIP Code: 55120-1505
Phone: (651) 452-5815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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