Individual
LAUREEN BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9200
(651) 290-9210
Mailing address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9200
(651) 290-9210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11303
MN
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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