FRED L BALLOU, DMD, PSC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1619972205- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 311 RADIO PARK DR STE B, RICHMOND, KY, 404752399
- Phone
- (859) 623-3818
- Fax
- (859) 624-1061
Specialties & Taxonomies
Dentist, General Practice
Primary License: KY #3905