Provider Demographics
NPI:1174740187
Name:BUTLER BALLONA, MARIA ELENA
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELENA
Last Name:BUTLER BALLONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 S MEADE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-1940
Mailing Address - Country:US
Mailing Address - Phone:720-837-8825
Mailing Address - Fax:
Practice Address - Street 1:2020 WADSWORTH BLVD STE 18A
Practice Address - Street 2:ALL ABOUT KIDS DENTAL CENTER
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5730
Practice Address - Country:US
Practice Address - Phone:303-431-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant