| Bales And King Orthodontic Partnership | |
|
1713 Novato Blvd Novato CA 94947-3014 | |
| (415) 897-3141 | |
| Not Available |
| Full Name | Bales And King Orthodontic Partnership |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1713 Novato Blvd, Novato, California |
| Authorized Official Name and Position | Kathleen Bales (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 4158973141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bales And King Orthodontic Partnership 1713 Novato Blvd Novato CA 94947-3014 Ph: (415) 897-3141 | Bales And King Orthodontic Partnership 1713 Novato Blvd Novato CA 94947-3014 Ph: (415) 897-3141 |
| NPI Number | 1013721216 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013721216 | NPI | - | NPPES |
| 1770688517 | Other | CA | NPI TYPE 2 |
| 1487153680 | Other | CA | NPI TYPE 1 INDIVIDUAL |
| 1760621593 | Other | CA | NPI TYPE 1 INDIVIDUAL |
| 942443492 | Other | CA | PREVIOUS TYPE 2 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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