CHARLES KEITH BALISHA

TURLOCK, CA
NPI1780751727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  27584)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
-- CHARLES KEITH BALISHA DDS
215 N THOR #A
TURLOCK, CA 95380
Phone number: 209-667-9264
Mailing Address
-- CHARLES KEITH BALISHA DDS
215 N THOR #A
TURLOCK, CA 95380
Phone number: 209-667-9264
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