Organization
BALLOU ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES I BALLOU (MANAGER)
(469) 888-4453
Entity
Organization
Contact information
Practice address
4500 HILLCREST RD, STE 120, FRISCO, TX 75035-5418
(469) 888-4453
Mailing address
4500 HILLCREST RD, STE 120, FRISCO, TX 75035-5418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25102
TX
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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