Virginia Bautista, DDS,MDS

NPI #1033878848 in Redlake, Minnesota

Provider Information

NPI Number
1033878848
Entity Type
Individual
Name
Virginia Bautista, DDS,MDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS,MDS
Enumeration Date
Dec 9, 2021
Last Updated
Sep 25, 2023

Practice Location

Address
24760 HOSPITAL DRIVE
ZIP Code
56671
Phone
(218) 679-0119

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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