Individual
DR. KATHLEEN MARIE BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1713 NOVATO BLVD, NOVATO, CA 94947-3014
(415) 897-3141
(415) 898-3445
Mailing address
1713 NOVATO BLVD, NOVATO, CA 94947-3014
(415) 897-3141
(415) 898-3445
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51548
CA
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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