License holder summary

Kathy Leslie Baca, DA is a Dental Assistant licensed to practice in New Mexico. The address on file for Kathy Leslie Baca, DA is Penasco, NM, 87553. This licensed professional license is current. The license was granted 04/09/2001 and expired on 06/30/2016.

New Mexico

Regulation & Licensing Department

Kathy Leslie Baca, DA
Dental Assistant
License number
DA2132
Date granted
04/09/2001
Date expires
06/30/2016
Class
Dental Assistant
Status
Active
Address
Penasco, NM, 87553
licensingnm.com
ID 4319018
LAST UPDATED 2024-02-06 03:48:51 UTC

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