| Mark K Batesole, Dds, Ms, Inc | |
|
178 S Victoria Ave Ste C Ventura CA 93003-4369 | |
| (805) 628-2425 | |
| Not Available |
| Full Name | Mark K Batesole, Dds, Ms, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 178 S Victoria Ave Ste C, Ventura, California |
| Authorized Official Name and Position | Mark Kenneth Batesole (PRESIDENT) |
| Authorized Official Contact | 8056282425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark K Batesole, Dds, Ms, Inc 1055 Bangor Ln Ventura CA 93001-3820 Ph: (949) 374-6458 | Mark K Batesole, Dds, Ms, Inc 178 S Victoria Ave Ste C Ventura CA 93003-4369 Ph: (805) 628-2425 |
| NPI Number | 1114538253 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114538253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Jacob Rider Dds Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2437 Harbor Blvd, Ventura, CA 93001 Phone: 805-804-5590 | |
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Ventura Dental Specialty Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3390 Loma Vista Rd, Suite#c, Ventura, CA 93003 Phone: 805-658-0700 Fax: 805-658-0777 |