Organization
MAHONEY AND BALLARD DMD INC
Active
Other names
Downtown Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULINE R RAY (OFFICE MANAGER)
(314) 241-4232
Entity
Organization
Contact information
Practice address
720 OLIVE STREET, SUITE 1700, SAINT LOUIS, MO 63101
(314) 241-4232
(314) 241-3204
Mailing address
720 OLIVE STREET, SUITE 1700, SAINT LOUIS, MO 63101
(314) 241-4232
(314) 241-3204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9210
MO
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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