Individual
DR. CHRIS A BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128-3215
(520) 723-1700
(520) 340-7800
Mailing address
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128-3215
(520) 723-1700
(520) 340-7800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7579
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7579
ARIZONA LICENSE
AZ
Enumeration date
07/14/2008
Last updated
12/05/2023
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