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Derrick Baca Dds Llc
General Practice Dentistry in Grants, New Mexico
NPI 1902214406

Derrick Baca Dds Llc is a General Practice Dentistry based in Grants, NM and is specialized in General Practice. Derrick Baca Dds Llc practices in Grants, NM. The NPI Number for Derrick Baca Dds Llc is 1902214406 and holds a License No. DD3492 (New Mexico).

The current practice location address for Derrick Baca Dds Llc is 1209 Bonita St, Grants, NM and can be reached out via phone at 505-876-4034 and via fax at 505-876-4036.

Location: 1209 Bonita St, Grants, NM, 87020-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902214406
Provider Name
Derrick Baca Dds Llc
Credential
Provider Entity Type
Organization
Address
1209 Bonita St, Grants, NM, 87020-2103
Phone Number
505-876-4034
Fax Number
505-876-4036
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
93577389 05 NM
institution
Provider Business Practice Location Address Details
Address
1209 Bonita St
City
Grants
State
New Mexico
Zip
87020-2103
Phone Number
505-876-4034
Fax Number
505-876-4036
person
Provider Business Mailing Address Details
Address
1209 Bonita St
City
Grants
State
New Mexico
Zip
87020-2103
Phone Number
505-876-4034
Fax Number
505-876-4036
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DD3492 (New Mexico)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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