| William M Ballance Dds | |
|
1964 Wakefield Street Petersburg VA 23805 | |
| (804) 732-1278 | |
| Not Available |
| Full Name | William M Ballance Dds |
|---|---|
| Speciality | Dentist |
| Location | 1964 Wakefield Street, Petersburg, Virginia |
| Authorized Official Name and Position | William M Ballance (DENTIST OWNER SOLE PROPRIETOR) |
| Authorized Official Contact | 8047321278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William M Ballance Dds 1964 Wakefield Street Petersburg VA 23805 Ph: (804) 732-1278 | William M Ballance Dds 1964 Wakefield Street Petersburg VA 23805 Ph: (804) 732-1278 |
| NPI Number | 1053507400 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053507400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401004200VA (Virginia) | Primary |
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