-- JOSEPH DAVID BALLENGER Jr. DDS
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1598773749- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 339 W IOWA AVE, NAMPA, ID, 836862856
- Phone
- (208) 467-1227
- Fax
- (208) 467-1299
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #D20420S