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Edgar Gary Bautista, DDS
NPI 1902158801 · on the registry since 2012 · sole proprietor
Practice
- Address
- 81 Irving Place
Suite 1-D
New York, NY 10003 - Phone
- (212) 260-2652
- Fax
- (212) 533-3331
- Organisation at this address
- Jacob Rakhman Mdpc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-03
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 New York