Individual
MRS. LINDA SUE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13065 E 17TH AVE, AURORA, CO 80045-2532
(303) 724-5055
Mailing address
15639 E PURDUE DR, AURORA, CO 80013-2552
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
903543
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903543
STATE OF COLORADO DENTAL BOARD OF EXAMINERS
CO
Enumeration date
02/07/2012
Last updated
02/07/2012
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