Organization
BALLARD FAMILY DENTISTRY IN BURLESON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLI TIPPETT (INSURANCE COORDINATOR)
(817) 367-6453
Entity
Organization
Contact information
Practice address
2701 SW WILSHIRE BLVD, BURLESON, TX 76028
(817) 295-2031
(817) 426-2624
Mailing address
2701 SW WILSHIRE BLVD, BURLESON, TX 76028
(817) 295-2031
(817) 426-2624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
07/10/2020
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