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Tia Ballard, LMP
NPI 1699042358 · on the registry since 2011 · sole proprietor
Practice
- Address
- 200 Sw 41st St Ste 100
Renton, WA 98057 - Phone
- (425) 251-5715
- Fax
- (425) 251-0703
- Organisation at this address
- Daniel D. Chang, Dds,Ps
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-23
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 Washington