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1558467670
ENRICO S BAUTISTA
PLANTATION, FL
NPI
1558467670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN15933)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- ENRICO S BAUTISTA DMD
1776 N PINE ISLAND RD #300
PLANTATION, FL 33322
Phone number: 954-916-0947
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Mailing Address
-- ENRICO S BAUTISTA DMD
19509 S COQUINA WAY
WESTON, FL 33332
Phone number: 954-389-0078
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