Organization
BRIAN A. BALDA, D.M.D.,P.C.
Active
Other names
BALDA Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN A. BALDA D.M.D. (DENTIST)
(217) 342-3411
Entity
Organization
Contact information
Practice address
401 E WASHINGTON AVE, EFFINGHAM, IL 62401-3442
(217) 342-3411
(217) 347-6551
Mailing address
401 E WASHINGTON AVE, EFFINGHAM, IL 62401-3442
(217) 342-3411
(217) 347-6551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-020401
IL
Other
Enumeration date
01/25/2007
Last updated
04/15/2008
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