Individual
DR. RANDALL GLENN BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
42 DANBURY RD, RIDGEFIELD, CT 06877-4019
(203) 438-7181
Mailing address
43 E RIDGE RD, RIDGEFIELD, CT 06877-5017
(203) 438-5174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DO 4074
CT
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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