Indigo Hagan Ballister, DMD Valid NPI
Individual provider · Dentist · Apo, AE
- NPI
- 1598445645
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 0401418433 (VA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-07-24
- Last updated
- 2024-09-13
Practice location
Landstuhl Regional Medical Center, Unit 33100
Apo, AE 09180-3100
(314) 566-5328