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ROBERT EDWIN BALDWIN DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1871708644

Individual Registrant:
 ROBERT EDWIN BALDWIN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
136 SW WASHINGTON AVE  MADISON, FL 32340-2050 US
Tel: 850-973-6621  Fax: 850-973-6672

Contact information for business:
136 SW WASHINGTON AVE  MADISON, FL 32340-2050 US
Tel: 850-973-6621  Fax: 850-973-6672

Registration Information:
NPI: 1871708644
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN7531

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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