Individual
JOSEPHINE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18721 PONDEROSA DR, PARKER, CO 80134-8824
(303) 805-4655
Mailing address
18721 PONDEROSA DR, PARKER, CO 80134-8824
(303) 805-4655
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904868
CO
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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