Individual
HOLLY BALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9400 STATION ST, LONE TREE, CO 80124-6808
(303) 690-0400
Mailing address
7583 S GRAND BAKER CT, AURORA, CO 80016-2583
(720) 252-3452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202893
CO
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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