LANCE C. BAUTISTA DDS, INC.

MODESTO, CA
NPI1730742701
Other NameDR. LANCE C. BAUTISTA PEDIATRIC DENTISTRY
Entity TypeOrganization
Authorized ContactLANCE C. BAUTISTA
CEO, President
209-523-5437
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2019-04-16
Last Update Date2019-04-16
Business Address
LANCE C. BAUTISTA DDS, INC.
1213 COFFEE RD STE E
MODESTO, CA 95355-4229
Phone number: 209-523-5437
Mailing Address
LANCE C. BAUTISTA DDS, INC.
1213 COFFEE RD STE E
MODESTO, CA 95355-4229
Phone number: 209-523-5437