Individual
DORIANNE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 360-6276
(303) 467-5355
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 360-6276
(303) 467-5355
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000906519
CO
Other
Enumeration date
02/20/2016
Last updated
07/27/2016
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