| Tomas J. Ballesteros D.m.d. Pa | |
|
810 W Desoto St Clermont FL 34711-2110 | |
| (352) 394-3071 | |
| (352) 394-3079 |
| Full Name | Tomas J. Ballesteros D.m.d. Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 W Desoto St, Clermont, Florida |
| Authorized Official Name and Position | Tomas J. Ballesteros (OWNER) |
| Authorized Official Contact | 3523943071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tomas J. Ballesteros D.m.d. Pa 810 W Desoto St Clermont FL 34711-2110 Ph: (352) 394-3071 | Tomas J. Ballesteros D.m.d. Pa 810 W Desoto St Clermont FL 34711-2110 Ph: (352) 394-3071 |
| NPI Number | 1013014000 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013014000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0013657 (Florida) | Primary |
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