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1164480554
DIANA MARIE BACA
ALBUQUERQUE, NM
NPI
1164480554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM 1687)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
Dr. DIANA MARIE BACA DDS
5900 CUBERO DR NE STE C
ALBUQUERQUE, NM 87109-3882
Phone number: 505-822-8589
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Mailing Address
Dr. DIANA MARIE BACA DDS
5900 CUBERO DR NE STE C
ALBUQUERQUE, NM 87109-3882
Phone number: 505-822-8589
Copy
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