Individual
ANTHONY BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
135 US HIGHWAY 27 S, SOUTH BAY, FL 33493-2213
(561) 996-0033
Mailing address
135 US HIGHWAY 27 S, SOUTH BAY, FL 33493-2213
(786) 838-5234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018929800
—
FL
Enumeration date
08/01/2016
Last updated
01/15/2018
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