Individual
DR. JACOB CHRISTOPHER BALKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSC, DDS
Contact information
Practice address
6756 POSS RD, SAN ANTONIO, TX 78238-2258
(201) 680-7841
Mailing address
6756 POSS RD, SAN ANTONIO, TX 78238-2258
(210) 680-7841
(210) 680-3503
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
34969
TX
1223P0221X
Pediatric Dentistry
ETN526
TX
Other
Enumeration date
11/19/2018
Last updated
08/19/2019
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