Organization
BALDA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BALDA DMD (DENTIST/OWNER)
(217) 342-3411
Entity
Organization
Contact information
Practice address
911 N HENRIETTA ST, EFFINGHAM, IL 62401-1772
(217) 342-3411
Mailing address
911 N HENRIETTA ST, EFFINGHAM, IL 62401-1772
(217) 342-3411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029606
IL
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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