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Individual

KARINA BALLESTEROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
1498 N VASCO RD, LIVERMORE, CA 94551-9213
(925) 454-1132
Mailing address
101 E VINEYARD AVE, STE 119 #112, LIVERMORE, CA 94550

Taxonomy

Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
944
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
944
DENTAL HYGIENE BOARD OF CALIFORNIA
CA
Enumeration date
03/06/2023
Last updated
03/19/2023
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