LEO PAUL BALDERAMOS

SANTA FE, NM
NPI1508070178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  1828)
Additional Taxonomies122300000X Dentist
(Licence: TX  16475)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
Dr. LEO PAUL BALDERAMOS DDS MS
409 SAINT MICHAELS DRIVE SUITE D
SANTA FE, NM 87505
Phone number: 505-983-7373
Mailing Address
Dr. LEO PAUL BALDERAMOS DDS MS
409 SAINT MICHAELS DRIVE SUITE D
SANTA FE, NM 87505
Phone number: 505-983-7373