Balderamos, Leo Paul

Balderamos, Leo Paul is an individual health care provider with primary practice located at 409 Saint Michaels Drive Suite D, Santa Fe NM 87505. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Balderamos, Leo Paul can be contacted via phone (505) 983-7373.

Contact Information

Primary practice address
409 Saint Michaels Drive Suite D Santa Fe NM 87505
Fax: (505) 989-1552
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1828 New Mexico
Dental Providers / Dentist 122300000X 16475 Texas

Profile Details

NPI number 1508070178
LBN Legal business name Balderamos, Leo Paul
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 17 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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