Individual
LONDON BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
718 HARVEST HILLS DR, CARROLLTON, MO 64633-2412
(877) 344-3572
(866) 228-4492
Mailing address
819 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1515
(660) 667-0303
(660) 251-0524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025019620
MO
Other
Enumeration date
05/08/2023
Last updated
07/14/2025
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