Individual
JAMES IAN BALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2520 KING ARTHUR BLVD STE 105, LEWISVILLE, TX 75056-6082
(972) 899-1465
Mailing address
2520 KING ARTHUR BLVD STE 105, LEWISVILLE, TX 75056-6082
(972) 899-1465
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25102
TX
Other
Enumeration date
11/19/2009
Last updated
01/13/2014
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