Individual
DR. ATHENA JACQUELINE-GAUTHIER BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9245 RAINIER AVE S, SEATTLE, WA 98118-5569
(206) 461-6981
(206) 461-8581
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60544747
WA
Other
Enumeration date
03/16/2015
Last updated
09/26/2019
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