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Individual

DORINDA DARYL BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH, BSDH

Contact information

Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2903
(928) 769-2946
Mailing address
3064 AMANDA CIR, KINGMAN, AZ 86401-5335
(928) 377-3690

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2003011314
MO

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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