Individual
DR. RICHARD ALLEN BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3435 E PONY EXPRESS PARKWAY, SUITE 110, EAGLE MOUNTAIN, UT 84005-8400
(801) 310-6777
Mailing address
3435 E PONY EXPRESS PARKWAY, SUITE 110, EAGLE MOUNTAIN, UT 84005-6033
(801) 877-0780
(801) 903-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD4097
NM
1223G0001X
General Practice Dentistry
Primary
9441831-9922
UT
Other
Enumeration date
06/13/2014
Last updated
07/12/2019
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