| Lauren Ballard Dmd, Pc | |
|
6053 Fresh Pond Rd Maspeth NY 11378-3541 | |
| (267) 742-7709 | |
| Not Available |
| Full Name | Lauren Ballard Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6053 Fresh Pond Rd, Maspeth, New York |
| Authorized Official Name and Position | Lauren Ballard (OWNER) |
| Authorized Official Contact | 2677427709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Ballard Dmd, Pc 2112 33rd St Apt 1c Astoria NY 11105-2399 Ph: (267) 742-7709 | Lauren Ballard Dmd, Pc 6053 Fresh Pond Rd Maspeth NY 11378-3541 Ph: (267) 742-7709 |
| NPI Number | 1376192690 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376192690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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