DERRICK RAY BACA

ALBUQUERQUE, NM
NPI1295014769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223D0001X Dentist, Dental Public Health
(Licence: NM  DD3492)
Enumeration Date2011-08-15
Last Update Date2011-08-15
Business Address
Dr. DERRICK RAY BACA DDS
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108-2926
Phone number: 505-262-6547
Mailing Address
Dr. DERRICK RAY BACA DDS
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108-2926
Phone number: 505-262-6547
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