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Organization
MARC L. BALL DDS, PS
Active
Organization
MARC L. BALL DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E TROY (FINANCIAL COORDINATOR)
(509) 662-9685
Entity
Organization
Contact information
Practice address
620 N EMERSON AVE, SUITE 103, WENATCHEE, WA 98801-6619
(509) 662-9685
Mailing address
620 N EMERSON AVE, SUITE 103, WENATCHEE, WA 98801-6619
(509) 662-9685
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5215
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6729430001
MEDICARE PTAN
WA
Enumeration date
07/13/2016
Last updated
07/13/2016
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