Organization
BALLARD DENTAL CORPORATION
Active
Other names
Mission Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBEKAH R BALLARD DDS (OWNER DDS)
(949) 582-8400
Entity
Organization
Contact information
Practice address
26032 MARGUERITE PKWY, STE. A-1, MISSION VIEJO, CA 92692-5281
(949) 582-8400
(949) 582-8410
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
11/19/2013
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