Individual
DR. ERIC M PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2503 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 425-6434
(505) 425-6434
Mailing address
2503 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 425-6434
(505) 425-6434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2637
NM
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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