Individual
ALICIA BACA-SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4405 JAGER DR NE STE C1, RIO RANCHO, NM 87144-5715
(505) 867-1442
Mailing address
10700 STONE HOLLOW PL NW, ALBUQUERQUE, NM 87114-3797
(505) 280-2322
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2180
NM
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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