New Mexico
Regulation & Licensing Department
Nicole F. C de Baca, DA
Dental Assistant
License number
DA3779
Date granted
09/24/2009
Date expires
06/30/2012
Class
Dental Assistant
Status
Revoked
Address
Albuquerque, NM, 87111
licensingnm.com
ID 4321946
LAST UPDATED 2024-04-18 10:23:27 UTC
LAST UPDATED 2024-04-18 10:23:27 UTC
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