person
Lance Bautista, DDS
Pediatric Dentist in Modesto, California
NPI 1588704951

Lance Bautista is a Pediatric Dentist based in Modesto, CA and is specialized in Pediatric Dentistry. Lance Bautista practices in Modesto, CA and has the professional credentials of DDS. The NPI Number for Lance Bautista is 1588704951 and holds a License No. 40138 (California).

The current practice location address for Lance Bautista is 1213 Coffee Rd, Modesto, CA and can be reached out via phone at 209-523-5437 and via fax at 209-523-5436.

Location: 1213 Coffee Rd, Modesto, CA, 95355-4229
person
Provider Profile Details
NPI Number
1588704951
Provider Name
Lance Bautista
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1213 Coffee Rd, Modesto, CA, 95355-4229
Phone Number
209-523-5437
Fax Number
209-523-5436
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1213 Coffee Rd
City
State
Zip
95355-4229
Phone Number
209-523-5437
Fax Number
209-523-5436
person
Provider Business Mailing Address Details
Address
1213 Coffee Rd
City
State
Zip
95355-4229
Phone Number
209-523-5437
Fax Number
209-523-5436
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
40138 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Modesto, California: