Individual
DR. LEONARD JAMES BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4550 EUBANK NE, SUITE 101, ALBUQUERQUE, NM 87111-2565
(505) 292-8588
(505) 292-3100
Mailing address
4550 EUBANK NE, SUITE 101, ALBUQUERQUE, NM 87111-2565
(505) 292-8588
(505) 292-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NM1289
NM
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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