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Individual

DR. NICHOLAS B BAYLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9950 VALLEY CREEK ROAD, SUITE #150, WOODBURY, MN 55125-4884
(651) 702-1462
(651) 702-3828
Mailing address
9950 VALLEY CREEK ROAD, SUITE #150, WOODBURY, MN 55125-4884
(651) 702-1462
(651) 702-3828

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D12869
MN
1223P0221X
Pediatric Dentistry
Primary
D12869
MN

Other

Enumeration date
08/26/2010
Last updated
06/11/2015
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