DERRICK BACA DDS LLC

Dentist - General Practice

Active Organization
NPI: 1902214406

Practice Address

1209 BONITA ST
Grants, NM 87020

Phone: (505) 876-4034

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes DD3492 (NM)

Frequently Asked Questions

NPI 1902214406 is the National Provider Identifier for DERRICK BACA DDS LLC, a Dentist - General Practice provider located in Grants, NM. This NPI was enumerated on July 28, 2014.

Quick Facts

NPI
1902214406
Type
Organization
Enumerated
Jul 28, 2014
Last Updated
Jul 28, 2014

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