Organization
STEPHEN W. BALLARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE DELANEY (INSURANCE COORDINATOR)
(970) 669-1236
Entity
Organization
Contact information
Practice address
2998 GINNALA DR, SUITE 101, LOVELAND, CO 80538-7819
(970) 669-1236
(970) 622-8521
Mailing address
2998 GINNALA DR, SUITE 101, LOVELAND, CO 80538-7819
(970) 669-1236
(970) 622-8521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105813
CO
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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