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Individual

DR. GAYLA BALLOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1000 W BUSINESS 380, DECATUR, TX 76234-1645
(940) 626-4442
(940) 626-4485
Mailing address
1000 W BUSINESS 380, DECATUR, TX 76234-1645
(940) 626-4442
(940) 626-4485

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22730
TX

Other

Enumeration date
05/10/2007
Last updated
03/09/2015
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