DR. Daryl Duane Ballard, D.D.S.

NPI #1932212727 in Connell, Washington

Provider Information

NPI Number: 1932212727
Entity Type: Individual
Name: DR. Daryl Duane Ballard, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 16, 2006
Last Updated: Oct 14, 2020

Practice Location

Address: 1051 COLUMBIA AVE
City: Connell
State: Washington
ZIP Code: 99326-8702
Phone: (509) 488-5256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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