Individual
WENDY MICHAELENE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1105 MEMORIAL DR, ARTESIA, NM 88210-1189
(575) 746-9848
Mailing address
PO BOX 3334, MILAN, NM 87021-3334
(505) 290-1174
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1303
NM
Other
Enumeration date
07/30/2021
Last updated
05/28/2023
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