NPI | 1730742701 |
---|---|
Other Name | DR. LANCE C. BAUTISTA PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LANCE C. BAUTISTA CEO, President 209-523-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-04-16 |