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DR. DILLON MATTHEW BALE DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1053803494

Individual Registrant:
DR. DILLON MATTHEW BALE DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
7801 DR MARTIN LUTHER KING ST N  SAINT PETERSBURG, FL 33702-1108 US
Tel: 727-525-4499  Fax: --

Contact information for business:
7801 DR MARTIN LUTHER KING ST N  SAINT PETERSBURG, FL 33702-1108 US
Tel: 727-525-4499  Fax: --

Registration Information:
NPI: 1053803494
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN23368

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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