COREY BACA

ALBUQUERQUE, NM
NPI1205203460
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH3860)
Enumeration Date2015-08-24
Last Update Date2015-08-24
Business Address
-- COREY BACA RDH
1710 WYOMING BLVD NE
ALBUQUERQUE, NM 87112-3855
Phone number: 505-299-9122
Mailing Address
-- COREY BACA RDH
1710 WYOMING BLVD NE
ALBUQUERQUE, NM 87112-3855
Phone number: 505-299-9122
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