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Organization

ALLEN W BALLAR,DDS AND MATTHEW P BLEICKEN,DMD,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHRYN C BALLAR (OFFICE MANAGER)
(770) 497-1045
Entity
Organization

Contact information

Practice address
3772 SATELLITE BLVD, SUITE 200, DULUTH, GA 30096-5681
(770) 497-1045
(770) 623-6288
Mailing address
3772 SATELLITE BLVD, SUITE 200, DULUTH, GA 30096-5681
(770) 497-1045
(770) 623-6288

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8321
GA

Other

Enumeration date
04/13/2007
Last updated
08/22/2020
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