Philip Bald Waterford Pllc
NPI #1154695112 in Leland, North Dakota
Provider Information
- NPI Number
- 1154695112
- Entity Type
- Organization
- Organization Name
- Philip Bald Waterford Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 8, 2012
- Last Updated
- Mar 8, 2012
Practice Location
- Address
- 509 OLDE WATERFORD WAY
- Address 2
- SUITE 300
- City
- Leland
- State
- North Dakota
- ZIP Code
- 28451-4171
- Phone
- (910) 383-0100
Authorized Official
- Name
- DR. PHILIP FRANCIS BALD, DMD
- Title
- DENTIST-MEMBER MANAGER
- Phone
- (910) 202-4909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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