| Baller And Wineland Llc | |
|
4100 Morningside Ave Sioux City IA 51106-2974 | |
| (712) 274-2038 | |
| Not Available |
| Full Name | Baller And Wineland Llc |
|---|---|
| Speciality | Dentist |
| Location | 4100 Morningside Ave, Sioux City, Iowa |
| Authorized Official Name and Position | Ryan Timothy Baller (CO-OWNER / DENTIST) |
| Authorized Official Contact | 7122742038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baller And Wineland Llc 4100 Morningside Ave Sioux City IA 51106-2974 Ph: (712) 274-2038 | Baller And Wineland Llc 4100 Morningside Ave Sioux City IA 51106-2974 Ph: (712) 274-2038 |
| NPI Number | 1801593280 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801593280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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