Baca, Derrick Ray

Baca, Derrick Ray is an individual health care provider with primary practice located at 5608 Zuni Rd Se , Albuquerque NM 87108-2926. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Baca, Derrick Ray can be contacted via phone (505) 262-6547.

Contact Information

Primary practice address
5608 Zuni Rd Se Albuquerque NM 87108-2926
Phone: (505) 262-6547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DD3492 New Mexico

Profile Details

NPI number 1295014769
LBN Legal business name Baca, Derrick Ray
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2011
Last updated Aug 15th, 2011 - about 13 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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