Organization
KATHRYN J BALL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BALL (PRESIDENT)
(617) 513-9499
Entity
Organization
Contact information
Practice address
926 NW 13TH AVE, SUITE 150, PORTLAND, OR 97209-3081
(503) 227-2444
Mailing address
926 NW 13TH AVE, SUITE 150, PORTLAND, OR 97209-3081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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