Individual
MS. MISTY BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1421 WILMINGTON AVE, STATESVILLE, NC 28677-7166
(704) 838-1108
Mailing address
1421 WILMINGTON AVE, STATESVILLE, NC 28677-7166
(704) 838-1108
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6693
NC
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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