Baca, Pamela M
Baca, Pamela M is an individual health care provider with primary practice located at 3031 Hot Springs Blvd , Las Vegas NM 87701-4120. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Baca, Pamela M can be contacted via phone (505) 425-6677.Contact Information
Primary practice address
3031 Hot Springs Blvd
Las Vegas NM 87701-4120
Phone: (505) 425-6677
Fax: (505) 425-9638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD1719 | New Mexico |
Profile Details
| NPI number | 1891788246 |
|---|---|
| LBN Legal business name | Baca, Pamela M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891788246 | NPPES |
| New Mexico | MEDICAID | 80044 | |
| New Mexico | Other | 9177330 |
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