Reymond Carbonell Bautista DMD

NPI 1003083965 - Dentist - 1223G0001X

NPI Details
NPI 1003083965
Gender Male
Enumeration Date 05/09/2008
Last Updated 05/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1109 KENNEDY PL
SUITE #4
DAVIS CA, 95616-1271, US
Phone (530) 753-9900
Fax (530) 753-9930
Business Location
1109 KENNEDY PL
#2
DAVIS CA, 95616-1271, US
Phone (530) 753-9900
Fax (530) 753-9920
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 56217
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According to our database, Dr. Reymond Carbonell Bautista DMD NPI is 1003083965, taxonomy code is 1223G0001X and license number is 56217, license state is located at California. Reymond Carbonell Bautista DMD physically located at 1109 Kennedy Pl, Davis CA, 95616-1271. NPI Number Reymond Carbonell Bautista DMD has the Individual type.

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1003083965 NPI number is provided on an as is basis without warranty of any kind. 1003083965 is maintained by the National Plan & Provider Enumeration System. The contents of Reymond Carbonell Bautista DMD are for informational purposes only.