Leroy Baca, DDS

NPI #1154314177 in T Or C, New Mexico

Provider Information

NPI Number
1154314177
Entity Type
Individual
Name
Leroy Baca, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 24, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1960 N DATE ST
City
T Or C
ZIP Code
87901-3701
Phone
(505) 267-3088

Specialties & Taxonomy Codes

Specialty
Dentist

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