Organization
LAKE WORTH PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BALL DDS (OWNER/PARTNER)
(817) 995-3195
Entity
Organization
Contact information
Practice address
7109 NAVAJO TRL, LAKE WORTH, TX 76135-3946
(817) 238-6450
Mailing address
7109 NAVAJO TRL, LAKE WORTH, TX 76135-3946
(817) 238-6450
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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