Individual
GEOVANNY BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 OAKWOOD DR, BRIDGEWATER, VA 22812-9544
(540) 828-2312
(540) 828-2312
Mailing address
7517 CLEMSON CT, MANASSAS, VA 20109-7230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416949
VA
Other
Enumeration date
08/31/2019
Last updated
03/26/2026
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