Individual
VIRGINIA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS,MDS
Contact information
Practice address
24760 HOSPITAL DRIVE, REDLAKE, MN 56671
(218) 679-0119
Mailing address
2516 CALIHAN AVE NE, BEMIDJI, MN 56601-2338
(585) 749-6733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE61216744
WA
1223G0001X
General Practice Dentistry
Primary
DE61216744
WA
Other
Enumeration date
12/09/2021
Last updated
09/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us