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Organization
LAUREN BALLARD DMD, PC
Active
Organization
LAUREN BALLARD DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN BALLARD DMD (OWNER)
(267) 742-7709
Entity
Organization
Contact information
Practice address
6053 FRESH POND RD, MASPETH, NY 11378-3541
(267) 742-7709
Mailing address
2112 33RD ST APT 1C, ASTORIA, NY 11105-2399
(267) 742-7709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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