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Lourdes Ballet, DDS
NPI 1255517850 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1857 Providence Blvd
Deltona, FL 32725 - Phone
- (321) 283-2850
- Fax
- (386) 951-4809
- Organisation at this address
- Ballet Dental Care
Choice Meds Usa, Inc.
Carlos L Dominguez Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida