Individual
DR. CLIFFORD JOSEPH BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2292 DALTON DR STE F, CLARKSVILLE, TN 37043-8961
(931) 503-1111
Mailing address
2292 DALTON DR STE F, CLARKSVILLE, TN 37043-8961
(931) 503-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35980
TX
Other
Enumeration date
08/21/2020
Last updated
02/26/2024
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