Individual
DR. MICHAEL BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
134 EL CHICO TRL STE 101, WILLOW PARK, TX 76087-8862
(817) 995-3195
Mailing address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
34548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399388301
—
TX
Enumeration date
04/15/2017
Last updated
09/05/2019
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