| 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 |