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Contact Information

PAMELA M BACA, DDS
3031 HOT SPRINGS BLVD
LAS VEGAS, NM87701-4120
 Phone: 505-425-6677
 Fax: 505-425-9638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PAMELA M BACA · (Female)

NPI Number 1891788246
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/31/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # DD1719
  • NM Medicaid 80044
  • NM Other 9177330 DORAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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