Provider Demographics
NPI:1881054039
Name:BALDIWALA, MUNIRA (DDS)
Entity type:Individual
Prefix:
First Name:MUNIRA
Middle Name:
Last Name:BALDIWALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 ARRINGDON PARK DR
Mailing Address - Street 2:APT 1421
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7446
Mailing Address - Country:US
Mailing Address - Phone:919-789-1377
Mailing Address - Fax:
Practice Address - Street 1:2720 GRAVES DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4512
Practice Address - Country:US
Practice Address - Phone:919-778-0098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10255122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist