Individual
DR. RICHARD BLAKESLEE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
716 SUPERIOR AVE, GLADSTONE, MI 49837-1751
(906) 428-2321
(906) 428-9499
Mailing address
716 SUPERIOR AVE, GLADSTONE, MI 49837-1751
(906) 428-2321
(906) 428-9499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901008970
MI
Other
Enumeration date
10/05/2006
Last updated
07/21/2022
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