| Lance C. Bautista Dds, Inc. | |
|
1213 Coffee Rd Ste E Modesto CA 95355-4229 | |
| (209) 523-5437 | |
| (209) 523-5436 |
| Full Name | Lance C. Bautista Dds, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1213 Coffee Rd Ste E, Modesto, California |
| Authorized Official Name and Position | Lance C. Bautista (CEO, PRESIDENT) |
| Authorized Official Contact | 2095235437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance C. Bautista Dds, Inc. 1213 Coffee Rd Ste E Modesto CA 95355-4229 Ph: (209) 523-5437 | Lance C. Bautista Dds, Inc. 1213 Coffee Rd Ste E Modesto CA 95355-4229 Ph: (209) 523-5437 |
| NPI Number | 1730742701 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730742701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Access Dental Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Coffee Rd, Suite 200, Modesto, CA 95355 Phone: 209-521-0100 Fax: 209-521-0516 | |
Splash Kids Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Tully Rd Ste A1, Modesto, CA 95350 Phone: 209-284-5080 | |
Bright Now Dental Modesto Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste P1, Modesto, CA 95350 Phone: 209-576-8181 | |
Roger B. Wei, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste C12, Modesto, CA 95350 Phone: 209-491-3620 | |
A S Gill Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1518 Coffee Rd Ste B, Modesto, CA 95355 Phone: 209-809-0123 | |
Stephanie Diego Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd Ste 8a, Modesto, CA 95355 Phone: 209-566-1990 | |
Great Smiles Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 Phone: 209-409-8987 Fax: 209-322-4749 |