Balda Dental LLC

NPI #1841785532 in Effingham, Illinois

Provider Information

NPI Number: 1841785532
Entity Type: Organization
Organization Name: Balda Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jun 26, 2018
Last Updated: Jun 26, 2018

Practice Location

Address: 911 N HENRIETTA ST
City: Effingham
State: Illinois
ZIP Code: 62401-1772
Phone: (217) 342-3411

Authorized Official

Name: CHRISTOPHER BALDA, DMD
Title: DENTIST/OWNER
Phone: (217) 342-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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