MR. Robert Lee Ballou, DMD

NPI #1891890679 in Corbin, Kentucky

Provider Information

NPI Number: 1891890679
Entity Type: Individual
Name: MR. Robert Lee Ballou, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 14, 2006
Last Updated: Mar 10, 2008

Practice Location

Address: 109 N MAIN ST
City: Corbin
State: Kentucky
ZIP Code: 40701
Phone: (606) 528-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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