Individual
DR. WALMIR BALDOCCHI DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1340 E ORANGE AVE, EUSTIS, FL 32726-4343
(352) 273-5440
Mailing address
1340 E ORANGE AVE, EUSTIS, FL 32726-4343
(352) 333-0070
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN22582
FL
Other
Enumeration date
07/04/2017
Last updated
06/21/2021
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