Individual
MR. PATRICK THOMAS BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
750 S PLAZA DR, STE 316, MENDOTA HEIGHTS, MN 55120-1505
(651) 452-5815
(651) 452-5378
Mailing address
750 S PLAZA DR, STE 316, MENDOTA HEIGHTS, MN 55120-1505
(651) 452-5815
(651) 452-5378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9028
MN
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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