Individual
BEATRICE ANNE BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3300
Mailing address
223 HUMMINGBIRD WAY, AMERICAN CANYON, CA 94503-1141
(707) 319-6101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3158
HI
Other
Enumeration date
03/12/2024
Last updated
07/17/2024
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