Baca, Corey
Baca, Corey is an sole proprietor health care provider with primary practice located at 1710 Wyoming Blvd Ne , Albuquerque NM 87112-3855. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Baca, Corey can be contacted via phone (505) 299-9122.Contact Information
Primary practice address
1710 Wyoming Blvd Ne
Albuquerque NM 87112-3855
Phone: (505) 299-9122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH3860 | New Mexico |
Profile Details
| NPI number | 1205203460 |
|---|---|
| LBN Legal business name | Baca, Corey |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2015 |
| Last updated | Aug 24th, 2015 - about 10 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.
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