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Organization
JOSEPH D. BALLENGER JR. DDS PA
Active
Organization
JOSEPH D. BALLENGER JR. DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DAVID BALLENGER JR. DDS PA (OWNER)
(208) 467-1227
Entity
Organization
Contact information
Practice address
339 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-1227
(208) 467-1299
Mailing address
339 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-1227
(208) 467-1299
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-2042-OS
ID
Other
Enumeration date
09/10/2007
Last updated
02/26/2008
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