Individual
JASDEEP BAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDAEF
Contact information
Practice address
5959 GREENBACK LN STE 110, CITRUS HEIGHTS, CA 95621-4700
(916) 723-4777
Mailing address
5959 GREENBACK LN STE 110, CITRUS HEIGHTS, CA 95621-4700
(916) 723-4777
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
AEF841
CA
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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