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1376243758
KARINA BALLESTEROS
LIVERMORE, CA
NPI
1376243758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
125K00000X Advanced Practice Dental Therapist
(Licence: CA 944)
Enumeration Date
2023-03-06
Last Update Date
2023-03-19
Business Address
KARINA BALLESTEROS RDHAP
1498 N VASCO RD
LIVERMORE, CA 94551-9213
Phone number: 925-454-1132
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Mailing Address
KARINA BALLESTEROS RDHAP
101 E VINEYARD AVE STE 119 #112
LIVERMORE, CA 94550
Phone number:
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