Ermelinda Baca

NPI #1578965356 in Belen, New Mexico

Provider Information

NPI Number: 1578965356
Entity Type: Individual
Name: Ermelinda Baca
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 1501 E RIVER RD
City: Belen
State: New Mexico
ZIP Code: 87002-7429
Phone: (505) 864-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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