IndividualActive
Daniel Balderrama, DDS
NPI 1154416477 · General Practice Dentistry · Marshall, TX
Provider details
- NPI number
- 1154416477
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21745 (TX)
Specialties & taxonomies
Dental Providers
Practice location
2602 S Washington Ave
Marshall, TX 75672-7666
Phone: (903) 938-5662
Approximate (ZIP-level) locationGet directions
Mailing address
2602 S Washington Ave
Marshall, TX 75672-7666
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.