Individual
DR. CRAIG AMBROSE BALLOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2410 CLEVELAND AVE NW, CANTON, OH 44709-3613
(330) 453-9980
(330) 453-9981
Mailing address
2410 CLEVELAND AVE NW, CANTON, OH 44709-3613
(330) 453-9980
(330) 453-9981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16031
OH
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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