Provider Demographics
NPI:1376762740
Name:BATTE, GERTRUDES CHED (DDS)
Entity Type:Individual
Prefix:DR
First Name:GERTRUDES
Middle Name:CHED
Last Name:BATTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 E MCFADDEN AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4600
Mailing Address - Country:US
Mailing Address - Phone:714-541-9909
Mailing Address - Fax:714-541-9924
Practice Address - Street 1:1714 E MCFADDEN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4600
Practice Address - Country:US
Practice Address - Phone:714-541-9909
Practice Address - Fax:714-541-9924
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist