JOSEPH D BALLENGER JR, DDS, PA
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1497858203- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 211 N WHITLEY DR SUITE 3, FRUITLAND, ID, 836192704
- Phone
- (208) 452-4808
- Fax
- (208) 452-4816
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #D-2042-05