Individual
DR. SUZANNE DE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., PH.D.
Contact information
Practice address
SEED FARM STREET, HU HU KAM MEMORIAL HOSPITAL, SACATON, AZ 85247
(602) 528-1209
Mailing address
PO BOX 13643, CHANDLER, AZ 85248-0045
(602) 327-7289
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D6681
AZ
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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