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Individual

DONNA BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
26137 LA PAZ RD, SUITE 270, MISSION VIEJO, CA 92691-5319
(949) 226-7222
(949) 581-5454
Mailing address
26137 LA PAZ RD, SUITE 270, MISSION VIEJO, CA 92691-5319
(949) 226-7222
(949) 581-5454

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42906
CA

Other

Enumeration date
04/11/2011
Last updated
09/14/2012
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