Provider Demographics
NPI:1376784124
Name:BALDWIN, DANILEE K (DDS, MSD)
Entity Type:Individual
Prefix:
First Name:DANILEE
Middle Name:K
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 164TH AVE NE
Mailing Address - Street 2:SUITE #A250
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7812
Mailing Address - Country:US
Mailing Address - Phone:425-861-9685
Mailing Address - Fax:425-882-3026
Practice Address - Street 1:7530 164TH AVE NE
Practice Address - Street 2:SUITE #A250
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7812
Practice Address - Country:US
Practice Address - Phone:425-861-9685
Practice Address - Fax:425-882-3026
Is Sole Proprietor?:No
Enumeration Date:2009-03-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000087721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics