Organization
BLACKFOOT FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CADE G BALDWIN DDS (DOCTOR)
(208) 785-6833
Entity
Organization
Contact information
Practice address
380 W JUDICIAL ST, BLACKFOOT, ID 83221-2122
(208) 785-6833
(208) 785-5362
Mailing address
380 W JUDICIAL ST, BLACKFOOT, ID 83221-2122
(208) 785-6833
(208) 785-5362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3690
ID
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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