Individual
LOREN D. BALDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
#9 MT. EPHRAIM ROAD, SEARSPORT, ME 04974-0327
(207) 548-6161
(207) 548-2132
Mailing address
PO BOX 327, SEARSPORT, ME 04974-0327
(207) 548-6161
(207) 548-2132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2528
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132300000
—
ME
01
—
2528
ME LICENSE #
ME
Enumeration date
11/13/2006
Last updated
07/09/2007
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