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Dr. Travis S. Baldwin, DDS

Dentist, General Practice in Logan, UT. Individual provider (NPI-1).

NPI number1295961159
StatusActive
Last updated in NPPESJul 28, 2010

Details

NPI
1295961159
Entity type
Individual (NPI-1)
Name
Dr. Travis S. Baldwin
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 5, 2009
Last updated
Jul 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7650734-9923UTYes

Practice location

1260 N 200 E
Suite 9
Logan, UT 84341-7560

Phone 435-752-8000

Mailing address

1260 N 200 E
Suite 9
Logan, UT 84341-7560

Phone 435-752-8000

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