Individual
DR. ANDREW MARTIN BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8285 SW NIMBUS AVE, SUITE #185, BEAVERTON, OR 97008-6447
(503) 646-1931
(503) 520-1205
Mailing address
8285 SW NIMBUS AVE, SUITE #185, BEAVERTON, OR 97008-6447
(503) 646-1931
(503) 520-1205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9824
OR
Other
Enumeration date
11/05/2007
Last updated
11/14/2013
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