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Individual

DR. HEATHER BALLENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1470 PANTOPS MOUNTAIN PL, CHILDREN'S DENTISTRY OF CHARLOTTESVILLE, CHARLOTTESVILLE, VA 22911-4600
(434) 817-1817
Mailing address
1470 PANTOPS MOUNTAIN PL, CHILDREN'S DENTISTRY OF CHARLOTTESVILLE, CHARLOTTESVILLE, VA 22911-4600
(434) 817-1817

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401413770
VA
1223D0004X
Dental Anesthesiology
Primary
0401413770
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/24/2010
Last updated
05/19/2013
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