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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LANCE BAUTISTA, D.D.S

Active Sole Proprietor

LANCE BAUTISTA, D.D.S is a Pediatric Dentistry healthcare provider located in MODESTO, California. NPI 1588704951 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · MODESTO, CA

Registration Details

NPI Number
1588704951
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2007 (19.369730577734 yrs)
Last Updated
Jul 8, 2007
License
40138 (CA)
Sole Proprietor
Yes

Practice Information

Address
1213 COFFEE RD
MODESTO, CA, 953554229
Browse CA providers · Browse ZIP 95355
Phone
2095235437
Fax
2095235436
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in MODESTO, CA

Name Credential NPI
DR. ROBERT J. VENN III DDS 1316948870
DR. CHRISTOPHER DEAN ANDERSON DDS 1457466807
DR. DAVID GENE BAUMAN D.D.S. 1891801502
MS. NATALIE A. LENSER DDS 1669563607
DR. RAMIN MAHER D.M.D 1861689408
BEHROUZ SAMI DARYANI D.M.D 1578706636
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.