Bautista, Lance
Bautista, Lance is an sole proprietor health care provider with primary practice located at 1213 Coffee Rd , Modesto CA 95355-4229. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bautista, Lance can be contacted via phone (209) 523-5437.Contact Information
Primary practice address
1213 Coffee Rd
Modesto CA 95355-4229
Phone: (209) 523-5437
Fax: (209) 523-5436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 40138 | California |
Profile Details
| NPI number | 1588704951 |
|---|---|
| LBN Legal business name | Bautista, Lance |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
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