Individual
DR. MATTHEW JAMES BALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
947 PARKVIEW DR, KING OF PRUSSIA, PA 19406-1021
(484) 744-3831
Mailing address
947 PARKVIEW DR, KING OF PRUSSIA, PA 19406-1021
(484) 744-3831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038187
PA
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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