Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIRGINIA BAUTISTA, DDS,MDS
ActiveVIRGINIA BAUTISTA, DDS,MDS is a General Dentistry healthcare provider located in REDLAKE, Minnesota. NPI 1033878848 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · REDLAKE, MN
Registration Details
- NPI Number
- 1033878848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2021 (4.6942191955827 yrs)
- Last Updated
- Sep 25, 2023
- Licenses
-
DE61216744 (WA)DE61216744 (WA)
Practice Information
- Address
-
24760 HOSPITAL DRIVEREDLAKE, MN, 56671Browse MN providers · Browse ZIP 56671
- Phone
- 2186790119
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.