Individual
LOREN C BAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
28 SHERMAN AVE, GLENS FALLS, NY 12801-2839
(518) 793-6619
(518) 798-3415
Mailing address
28 SHERMAN AVE, GLENS FALLS, NY 12801-2839
(518) 793-6619
(518) 798-3415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039548-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02164592
—
NY
Enumeration date
11/09/2006
Last updated
07/09/2007
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