Individual
DR. DILLON MATTHEW BALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7801 DR MARTIN LUTHER KING ST N, SAINT PETERSBURG, FL 33702-1108
(727) 525-4499
Mailing address
7801 DR MARTIN LUTHER KING ST N, SAINT PETERSBURG, FL 33702-1108
(727) 525-4499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23368
FL
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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