ERIC BALLOU DDS
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1952561003- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 5355 W STATE ST, BOISE, ID, 837033333
- Phone
- (208) 853-4687
- Fax
- (208) 853-4690
Specialties & Taxonomies
Dentist
Primary License: ID #D-4142