Individual
ANN-CATHERINE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
430 E CALAVERAS BLVD, MILPITAS, CA 95035-5412
(650) 534-6301
Mailing address
2910 EVERGREEN DR, SAN BRUNO, CA 94066-1724
(650) 534-6301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64638
CA
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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