Tomas J. Ballesteros D.m.d. PA

NPI #1013014000 in Clermont, Florida

Provider Information

NPI Number: 1013014000
Entity Type: Organization
Organization Name: Tomas J. Ballesteros D.m.d. PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 810 W DESOTO ST
City: Clermont
State: Florida
ZIP Code: 34711-2110
Phone: (352) 394-3071

Authorized Official

Name: DR. TOMAS J. BALLESTEROS, DMD
Title: OWNER
Phone: (352) 394-3071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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