Provider Demographics
NPI:1285032102
Name:MARINA ALVAREZ BATLLE DDS INC
Entity Type:Organization
Organization Name:MARINA ALVAREZ BATLLE DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ BATLLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-760-8201
Mailing Address - Street 1:6063 VINELAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4917
Mailing Address - Country:US
Mailing Address - Phone:818-760-8201
Mailing Address - Fax:
Practice Address - Street 1:6063 VINELAND AVE STE A
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4917
Practice Address - Country:US
Practice Address - Phone:818-760-8201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46733261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental