Individual
DR. CAROL MARIE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2100 RAYBROOK ST SE STE 107, GRAND RAPIDS, MI 49546-5782
(734) 576-2154
Mailing address
2100 RAYBROOK ST SE STE 107, GRAND RAPIDS, MI 49546-5782
(734) 576-2154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020534
MI
Other
Enumeration date
08/30/2012
Last updated
09/09/2019
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