Search › California › 122300000X
Jason Ballou, DDS
NPI 1659461739 · on the registry since 2006 · sole proprietor
Practice
- Address
- 27462 Portola Pkwy
Suite #205
Foothill Ranch, CA 92610 - Phone
- (949) 830-2355
- Fax
- (949) 830-2352
- Organisation at this address
- Elitecare Svcs
Elitecare Svcs
Nasem Dunlop Dmd Inc
Mading Anesthesia Services
Clarity Anesthesia Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 California