| NPI | 1598811499 |
|---|---|
| Other Name | BALDA DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | BRIAN A. BALDA Dentist 217-342-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19-020401) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-04-15 |