Individual
DR. WAYNE OLIVER BALDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4025 W BELL RD, SUITE 1 B, PHOENIX, AZ 85053-2750
(602) 978-2570
Mailing address
4025 W BELL RD, SUITE 1 B, PHOENIX, AZ 85053-2750
(602) 978-2570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2267
AZ
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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