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Individual

BALDWIN LOUIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
646 CLEMENT ST, SAN FRANCISCO, CA 94118-2207
(415) 221-1324
Mailing address
646 CLEMENT ST, SAN FRANCISCO, CA 94118-2207
(415) 221-1324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24039
CA

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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