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Individual

DR. RENEE BALTHAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS MS

Contact information

Practice address
243 E INDIAN TRAIL, AURORA, IL 60505
(630) 859-8353
(630) 896-2670
Mailing address
243 E INDIAN TRAIL, AURORA, IL 60505
(630) 859-8353

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
IL

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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