| Balda Dental Llc | |
|
911 N Henrietta St Effingham IL 62401-1772 | |
| (217) 342-3411 | |
| Not Available |
| Full Name | Balda Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 911 N Henrietta St, Effingham, Illinois |
| Authorized Official Name and Position | Christopher Balda (DENTIST/OWNER) |
| Authorized Official Contact | 2173423411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balda Dental Llc 911 N Henrietta St Effingham IL 62401-1772 Ph: (217) 342-3411 | Balda Dental Llc 911 N Henrietta St Effingham IL 62401-1772 Ph: (217) 342-3411 |
| NPI Number | 1841785532 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841785532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019029606 (Illinois) | Primary |
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