Individual
MR. CLIFTON LEE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS.
Contact information
Practice address
2912 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103-4010
(336) 765-8940
(336) 765-1473
Mailing address
2912 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103-4010
(336) 765-8940
(336) 765-1473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4830
NC
Other
Enumeration date
02/19/2007
Last updated
08/23/2010
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