Organization
PHILIP BALD WATERFORD PLLC
Active
Other names
Dental Center at Waterford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP FRANCIS BALD DMD (DENTIST-MEMBER MANAGER)
(910) 202-4909
Entity
Organization
Contact information
Practice address
509 OLDE WATERFORD WAY, SUITE 300, LELAND, ND 28451-4171
(910) 383-0100
(910) 383-0121
Mailing address
509 OLDE WATERFORD WAY, SUITE 300, LELAND, NC 28451-4171
(910) 383-0100
(910) 383-0121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8308
NC
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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