Organization
ROMMEL K BAL DDS A DENTAL CORPORATION
Active
Other names
Dignity Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMMEL KAUR BAL DDS (PRESIDENT)
(209) 957-1244
Entity
Organization
Contact information
Practice address
1545 SAINT MARKS PLZ STE 1, STOCKTON, CA 95207-6411
(209) 957-1244
(209) 957-2591
Mailing address
1545 SAINT MARKS PLZ STE 1, STOCKTON, CA 95207-6411
(209) 957-1244
(209) 957-2591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
07/22/2020
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