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Graydon Ballard, DMD
NPI 1124139548 · on the registry since 2006 · sole proprietor
Practice
- Address
- 168 N Meramec Ave
Suite 102
Saint Louis, MO 63105 - Phone
- (314) 727-4900
- Fax
- (314) 727-9888
- Organisation at this address
- June K. Wolff Dmd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri