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1730742701
LANCE C. BAUTISTA DDS, INC.
MODESTO, CA
NPI
1730742701
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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
Business Address
LANCE C. BAUTISTA DDS, INC.
1213 COFFEE RD STE E
MODESTO, CA 95355-4229
Phone number: 209-523-5437
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Mailing Address
LANCE C. BAUTISTA DDS, INC.
1213 COFFEE RD STE E
MODESTO, CA 95355-4229
Phone number: 209-523-5437
Copy
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