| Bana Ball Dmd Llc | |
|
15245 Shady Grove Rd Ste 260 Rockville MD 20850-3222 | |
| (240) 848-7074 | |
| (240) 848-7075 |
| Full Name | Bana Ball Dmd Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15245 Shady Grove Rd Ste 260, Rockville, Maryland |
| Authorized Official Name and Position | Banafsheh M Ball (PEDIATRIC DENTIST; OWNER) |
| Authorized Official Contact | 2408487074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bana Ball Dmd Llc 15609 Wapello Way Rockville MD 20855-2642 Ph: (423) 737-8208 | Bana Ball Dmd Llc 15245 Shady Grove Rd Ste 260 Rockville MD 20850-3222 Ph: (240) 848-7074 |
| NPI Number | 1548804867 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548804867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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