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DE BACA FAMILY PRACTICE CLINIC

Federally Qualified Health Center (FQHC)

NPI: 1740090729Organization

Specialties, Licenses & Credentials

General Practice Dentistry

Dentist — General Practice

Code: 1223G0001X

Federally Qualified Health Center (FQHC)Primary

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X

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Contact & Hours

Address
678 AVENUE C
FORT SUMNER, NM 88119

Quick Facts

NPI
1740090729
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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