Organization
BALES AND KING ORTHODONTIC PARTNERSHIP
Active
Other names
Bales Orthodontics, Thomas R Bales, DDS, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN BALES DDS, MS (OWNER/ORTHODONTIST)
(415) 897-3141
Entity
Organization
Contact information
Practice address
1713 NOVATO BLVD, NOVATO, CA 94947-3014
(415) 897-3141
Mailing address
1713 NOVATO BLVD, NOVATO, CA 94947-3014
(415) 897-3141
(415) 898-3445
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487153680
NPI TYPE 1 INDIVIDUAL
CA
01
—
1760621593
NPI TYPE 1 INDIVIDUAL
CA
01
—
1770688517
NPI TYPE 2
CA
01
—
942443492
PREVIOUS TYPE 2 NPI
CA
Enumeration date
02/06/2025
Last updated
02/06/2025
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