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Organization
NIEVA SOCORRO R. BAUTISTA D.M.D., INC
Active
Organization
NIEVA SOCORRO R. BAUTISTA D.M.D., INC
Active
Other names
Vista Foothill Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NIEVA R. BAUTISTA (CEO/OWNER)
(760) 724-7645
Entity
Organization
Contact information
Practice address
1293 E VISTA WAY, VISTA, CA 92084-4039
(760) 724-7645
(760) 724-7640
Mailing address
1293 E VISTA WAY, VISTA, CA 92084-4039
(760) 724-7645
(760) 724-7640
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
47229
CA
Other
Enumeration date
05/17/2007
Last updated
06/03/2014
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