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1508070178
LEO PAUL BALDERAMOS
SANTA FE, NM
NPI
1508070178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM 1828)
Additional Taxonomies
122300000X Dentist
(Licence: TX 16475)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Dr. LEO PAUL BALDERAMOS DDS MS
409 SAINT MICHAELS DRIVE SUITE D
SANTA FE, NM 87505
Phone number: 505-983-7373
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Mailing Address
Dr. LEO PAUL BALDERAMOS DDS MS
409 SAINT MICHAELS DRIVE SUITE D
SANTA FE, NM 87505
Phone number: 505-983-7373
Copy
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