Banias, Agnes Bautista

Banias, Agnes Bautista is an sole proprietor health care provider with primary practice located at 1647 Admiral Taussig Blvd Br Health Clinic Naval Medical Center Portsmouth, Norfolk VA 23511. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Banias, Agnes Bautista can be contacted via phone (757) 953-7011.

Contact Information

Primary practice address
1647 Admiral Taussig Blvd Br Health Clinic Naval Medical Center Portsmouth Norfolk VA 23511
Phone: (757) 953-7011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 8471 North Carolina

Profile Details

NPI number 1205188307
LBN Legal business name Banias, Agnes Bautista
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2012
Last updated Oct 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers