Most Relevant Information
Provider Data
| NPI Number: | 1003279290 |
| Provider Name: | RILEY BALDWIN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0129953 |
Most Important Dates
| Enumeration Date: | 04/04/2016 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
61 SAINT PETER ST # B
WINOOSKI
VT
054041316
Practice Location Phone/Fax
| Phone: | 4133297824 |
| Fax: |
Provider Mailing Location
77 S MAIN ST
WATERBURY
VT
056761555
Provider Mailing Phone/Fax
| Phone: | 4133297824 |
| Fax: |