Amanda Jo Baca

NPI #1679442669 in Grants, New Mexico

Provider Information

NPI Number: 1679442669
Entity Type: Individual
Name: Amanda Jo Baca
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Oct 30, 2025
Last Updated: Oct 30, 2025

Practice Location

Address: 710 E SANTA FE
City: Grants
State: New Mexico
ZIP Code: 87020-3926
Phone: (505) 350-6046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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