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Individual

MARC LEE BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
620 N EMERSON ST, STE 103, WENATCHEE, WA 98801-6619
(509) 662-9685
(509) 662-5099
Mailing address
620 N EMERSON ST, STE 103, WENATCHEE, WA 98801-6619
(509) 662-9685
(509) 662-5099

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5215
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6729430001
MEDICARE PTAN
WA
Enumeration date
08/29/2006
Last updated
04/23/2013
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