Search › New Mexico › 171100000X
Tracey Baca, DOM
NPI 1679089288 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1209 Silver Ave Sw
Albuquerque, NM 87102 - Phone
- (505) 730-0918
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 225700000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-18
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