Randall E Ballweg, D.D.S.
NPI #1609855303 in Prairie Du Sac, Wisconsin
Provider Information
- NPI Number
- 1609855303
- Entity Type
- Individual
- Name
- Randall E Ballweg, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1250 PRAIRIE ST
- City
- Prairie Du Sac
- State
- Wisconsin
- ZIP Code
- 53578-2041
- Phone
- (608) 643-8505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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