Organization
BALLARD FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JAQUEZ (OFFICE MANAGER)
(817) 367-6453
Entity
Organization
Contact information
Practice address
701 W BAILEY BOSWELL RD, SAGINAW, TX 76179-1007
(817) 367-6453
Mailing address
701 W BAILEY BOSWELL RD, SAGINAW, TX 76179-1007
(817) 367-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21511
TX
Other
Enumeration date
02/05/2007
Last updated
07/01/2008
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