RANDALL BALLWEG, D.D.S.

Dentist - General Practice

Active Individual
NPI: 1609855303

Practice Address

1250 PRAIRIE ST
Prairie Du Sac, WI 53578

Phone: (608) 643-8505

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 5002051-015 (WI)

Frequently Asked Questions

NPI 1609855303 is the National Provider Identifier for RANDALL BALLWEG, D.D.S., a Dentist - General Practice provider located in Prairie Du Sac, WI. This NPI was enumerated on January 11, 2006.
RANDALL BALLWEG, D.D.S. practices at 1250 PRAIRIE ST, Prairie Du Sac, WI 53578.

Quick Facts

NPI
1609855303
Type
Individual
Enumerated
Jan 11, 2006
Last Updated
Jul 8, 2007

Nearby Providers