Individual
DR. STEPHEN W. BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2998 GINNALA DR, SUITE 101, LOVELAND, CO 80538-7819
(970) 669-1236
(970) 622-8521
Mailing address
2998 GINNALA DR, SUITE 101, LOVELAND, CO 80538-7819
(970) 669-1236
(970) 622-8521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105813
CO
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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