Individual
DR. PHILIP FRANCIS BALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
609 W KITTY HAWK RD, KITTY HAWK, NC 27949-4231
(252) 261-2422
Mailing address
3707 ANTELOPE TRL, WILMINGTON, NC 28409-3191
(252) 489-9063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913394
—
NC
Enumeration date
11/01/2006
Last updated
05/11/2010
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