Organization
MATTHEW M. BALLINGER DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW M BALLINGER DDS (DENTIS)
(443) 610-7591
Entity
Organization
Contact information
Practice address
200 ELM ST, LOWER SUITE, PITTSFIELD, MA 01201-6551
(443) 610-7591
Mailing address
200 ELM ST, LOWER SUITE, PITTSFIELD, MA 01201-6551
(443) 610-7591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855264
MA
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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