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
Phone: (505) 983-7373
Fax: (505) 989-1552
Website:
Health care specialties
Specialty | Code | License # | 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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