STEPHANIE P. BACA

ALBUQUERUQUE, NM
NPI1386080737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  1262)
Enumeration Date2013-05-13
Last Update Date2013-05-13
Business Address
Mrs. STEPHANIE P. BACA RDH
4400 CUTLER AVE. NE
ALBUQUERUQUE, NM 87110
Phone number: 505-881-1234
Mailing Address
Mrs. STEPHANIE P. BACA RDH
4400 CUTLER AVE NE
ALBUQUERQUE, NM 87110-3935
Phone number: 505-881-1234