Organization · Type 2 NPI

Reymond Bautista Dental Corporation

General Practice Dentistry · Sacramento, CA

NPI number 1679039960 Active

Practice location

3640 Crocker Ave Ste 130
Sacramento, CA 95818-3970

Call (916) 550-9429 Map

Fax (916) 246-1517

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

Other general practice dentistry providers in Sacramento

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NPI record

NPI: 1679039960
Entity type: Organization (Type 2)
Issued: Feb 12, 2019
Last updated: Aug 5, 2022
Status: Active

Other names

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Land Park Modern Dentistry Dental Group · doing business as
Land Park Modern Dentistry Dental Group · doing business as

Authorized official

Dr. Reymond C. Bautista, DDS
Owner
(916) 550-9429

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679039960

Reymond Bautista Dental Corporation's National Provider Identifier is 1679039960, issued on Feb 12, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sacramento, CA. The record was last updated on Aug 5, 2022.