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Organization

PHILIPPE BAUTISTA DMD LLC

Active
Other names
PBJ Kids Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIPPE B BAUTISTA DMD (OWNER)
(502) 744-5442
Entity
Organization

Contact information

Practice address
434 PATROL RD SUITE 210, JEFFERSONVILLE, IN 47130
(812) 582-7255
(812) 975-7255
Mailing address
434 PATROL RD SUITE 210, JEFFERSONVILLE, IN 47130
(812) 582-7255

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
06/26/2023
Last updated
12/06/2023
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