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Organization

CARREL BALDERSTON DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORI BALDERSTON (BOOKKEEPER)
(530) 872-2489
Entity
Organization

Contact information

Practice address
1074 EAST AVE, SUITE U, CHICO, CA 95926-1005
(530) 342-8580
Mailing address
1074 EAST AVE, SUITE U, CHICO, CA 95926-1005
(530) 342-8580

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
42119
CA

Other

Enumeration date
01/10/2017
Last updated
01/10/2017
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