| NPI | 1750580288 |
|---|---|
| Professional Name | SAM DEAN BALDERSTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42119) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 42119) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2022-02-09 |