Individual
MR. PETER S BALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 774-2816
(702) 774-2811
Mailing address
1001 SHADOW LANE, A-103, LAS VEGAS, NV 89106
(702) 774-2816
(702) 774-2811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2628
NV
1223G0001X
General Practice Dentistry
Primary
2628
NV
Other
Enumeration date
04/26/2007
Last updated
09/11/2025
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