Individual
DR. TRAVIS S. BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1260 N 200 E, SUITE 9, LOGAN, UT 84341-7560
(435) 752-8000
Mailing address
1260 N 200 E, SUITE 9, LOGAN, UT 84341-7560
(435) 752-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7650734-9923
UT
Other
Enumeration date
06/05/2009
Last updated
07/28/2010
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