Organization
DENTAL SPECIALISTS OF SAGINAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BALLARD DDS (PRESIDENT)
(817) 367-6453
Entity
Organization
Contact information
Practice address
701 W BAILEY BOSWELL RD, SAGINAW, TX 76179
(817) 367-6453
(817) 847-1194
Mailing address
701 W BAILEY BOSWELL RD, SAGINAW, TX 76179
(817) 367-6453
(817) 847-1194
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20905
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
16535
TX
Other
Enumeration date
03/06/2007
Last updated
03/11/2008
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