Individual
KRISTIN BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5785 SPRING MOUNTAIN RD, LAS VEGAS, NV 89146-8829
(702) 677-0184
Mailing address
5785 SPRING MOUNTAIN RD, LAS VEGAS, NV 89146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6358
NV
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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