Fred L Ballou, Dmd, Psc

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NPI Provider: 1619972205
Contact Name: Ballou L Fred
Position: President/Owner
Phone: (859) 623-3818

Fred L Ballou, Dmd, Psc Information:

Fred L Ballou, Dmd, Psc organization have npi 1619972205, taxonomy code is 1223G0001X with license number is 3905 in . This Business address located in 311 Radio Park Dr, Richmond, KY 40475 Kentucky. Get directions of Fred L Ballou, Dmd, Psc.

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Practice Location
Address: 311 Radio Park Dr, Richmond, KY 40475
Phone: (859) 623-3818

Business Location

Address: 311 Radio Park Dr, Richmond, KY 40475

Phone: (859) 623-3818

Fax: (859) 624-1061

Taxonomy

Taxonomy Code: 1223G0001X

License Number: 3905

License Number of State: KY

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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