Mark K Batesole, DDS, MS Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Ventura, CA
- NPI
- 1689768137
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 45821 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-02
- Last updated
- 2020-08-13
Practice location
178 S Victoria Ave Ste C
Ventura, CA 93003-4369
(805) 628-2425