Kathy Leslie Baca, RDH

NPI #1679440044 in Penasco, New Mexico

Provider Information

NPI Number: 1679440044
Entity Type: Individual
Name: Kathy Leslie Baca, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 21, 2025
Last Updated: Oct 21, 2025

Practice Location

Address: 201 K 2 BUFFALO TRAIL
City: Penasco
State: New Mexico
ZIP Code: 87553
Phone: (575) 251-8010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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