Search › New Mexico › 124Q00000X
Corey Baca, RDH
NPI 1205203460 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1710 Wyoming Blvd Ne
Albuquerque, NM 87112 - Phone
- (505) 299-9122
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico