Individual
DR. WILLIAM WILEY BALDRIDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7111 UNIVERSITY DRIVE, SUITE A, SHREVEPORT, LA 71105-5033
(318) 797-3755
(318) 798-0133
Mailing address
7111 UNIVERSITY DRIVE, SUITE A, SHREVEPORT, LA 71105-5033
(318) 797-3755
(318) 798-0133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3804
LA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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