Individual provider · Type 1 NPI
Kathy Leslie Baca, RDH
Dental Hygienist · Penasco, NM
Practice location
201 K 2 Buffalo Trail
Penasco, NM 87553
Fax (575) 242-6214
Mailing address
99B State Road 73
Vadito, NM 87579-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | DH4492 (NM) |
Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…
Another provider at this address
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About NPI 1679440044
Kathy Leslie Baca, RDH's National Provider Identifier is 1679440044, issued on Oct 21, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Penasco, NM. The record was last updated on Oct 21, 2025.