Tomas J. Ballesteros D.m.d. Pa

NPI 1013014000 - Dentist - 1223G0001X

NPI Details
NPI 1013014000
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TOMAS J. TOMAS
Position OWNER
Phone (352) 394-3071
Fax (352) 394-3079
Practice Location
810 W DESOTO ST
CLERMONT FL, 34711-2110, US
Phone (352) 394-3071
Fax (352) 394-3079
Business Location
810 W DESOTO ST
CLERMONT FL, 34711-2110, US
Phone (352) 394-3071
Fax (352) 394-3079
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN0013657
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According to our database, Tomas J. Ballesteros D.m.d. Pa NPI is 1013014000, taxonomy code is 1223G0001X and license number is DN0013657, license state is located at Florida. Tomas J. Ballesteros D.m.d. Pa physically located at 810 W Desoto St, Clermont FL, 34711-2110. NPI Number 1033115704 has the healthcare provider type.

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1013014000 NPI number is provided on an as is basis without warranty of any kind. 1013014000 is maintained by the National Plan & Provider Enumeration System. The contents of Tomas J. Ballesteros D.m.d. Pa are for informational purposes only.