Organization
BAUTISTA ORIEL DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA BAUTISTA ORIEL DMD (PRESIDENT)
(562) 468-1168
Entity
Organization
Contact information
Practice address
11960 E. ARTESIA BLVD., STE 200, ARTESIA, CA 90701-4039
(562) 468-1168
(562) 468-1158
Mailing address
11960 E. ARTESIA BLVD., STE 200, ARTESIA, CA 90701-4039
(562) 468-1168
(562) 468-1158
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
12/05/2008
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