Search › Utah › 122300000X
Priscila Fabiana Petry Bautista, DDS
NPI 1871159665 · on the registry since 2019 · sole proprietor
Practice
- Address
- 168 E 5900 S Ste C103
Murray, UT 84107 - Phone
- (801) 875-0370
- Organisation at this address
- Skin Pathology Consultants Of Utah
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah