LANCE BAUTISTA

MODESTO, CA
NPI1588704951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  40138)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- LANCE BAUTISTA D.D.S
1213 COFFEE RD
MODESTO, CA 95355-4229
Phone number: 209-523-5437
Mailing Address
-- LANCE BAUTISTA D.D.S
1213 COFFEE RD
MODESTO, CA 95355-4229
Phone number: 209-523-5437
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