Maria Luisa Mier-Bautista, D.M.D. Valid NPI
Individual provider · Dentist · Elk Grove, CA
- NPI
- 1528076510
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 35145 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-08-04
- Last updated
- 2007-07-08
Practice location
8101 Laguna Blvd., Ste 2
Elk Grove, CA 95758
(916) 684-1922