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Individual

BALJOT BAINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4120 PRESCOTT RD STE B, MODESTO, CA 95356-8418
(209) 718-4300
Mailing address
3304 RIDGEMONT CT, MODESTO, CA 95355-8449
(650) 296-8417

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
25935
TX
1223P0221X
Pediatric Dentistry
Primary
63365
CA

Other

Enumeration date
09/01/2010
Last updated
02/23/2022
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