Individual
DR. JAIME BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
621 PLAINFIELD RD STE 101, WILLOWBROOK, IL 60527-5385
(630) 920-8582
(630) 920-8602
Mailing address
621 PLAINFIELD RD STE 101, WILLOWBROOK, IL 60527-5385
(630) 920-8582
(630) 920-8602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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