ENRICO S BAUTISTA

PLANTATION, FL
NPI1558467670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN15933)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
-- ENRICO S BAUTISTA DMD
1776 N PINE ISLAND RD #300
PLANTATION, FL 33322
Phone number: 954-916-0947
Mailing Address
-- ENRICO S BAUTISTA DMD
19509 S COQUINA WAY
WESTON, FL 33332
Phone number: 954-389-0078
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