LEROY BACA, DDS

DDS

Dentist

NPI: 1154314177Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

DD1705(NM)

Contact & Hours

Address: 1960 N DATE ST
T OR C, NM 87901
Phone: (505) 267-3088

Quick Facts

NPI: 1154314177
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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