Individual
DR. JOHN BALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1140 S CALUMET RD STE 1, CHESTERTON, IN 46304-3284
(219) 728-1484
(219) 728-6491
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8113
(219) 764-3251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010986
IN
Other
Enumeration date
06/05/2007
Last updated
06/19/2023
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