Individual
MARIAH KATHLYN BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1113 PROGRESS DR, MEDFORD, OR 97504
(541) 512-3900
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 535-6239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11791
OR
122300000X
Dentist
DDS-09880
IA
Other
Enumeration date
05/12/2021
Last updated
06/06/2023
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