EDGAR GARY BAUTISTA

NEW YORK, NY
NPI1902158801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  034002)
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
Dr. EDGAR GARY BAUTISTA DDS
81 IRVING PLACE SUITE 1-D
NEW YORK, NY 10003-2257
Phone number: 212-260-2652
Mailing Address
Dr. EDGAR GARY BAUTISTA DDS
81 IRVING PLACE, SUITE 1-D
NEW YORK, NY 10003-2257
Phone number: 212-260-2652
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