Individual
BALBIR R BAGGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3814 S HOWELL AVE, MILWAUKEE, WI 53207-3841
(414) 744-3333
(414) 744-1155
Mailing address
3814 S HOWELL AVE, MILWAUKEE, WI 53207-3841
(414) 744-3333
(414) 744-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2545
WI
1223P0221X
Pediatric Dentistry
2545
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447390521
GROUP PIN
WI
Enumeration date
02/10/2012
Last updated
02/10/2012
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