Provider Demographics
NPI:1477864783
Name:BATRES, JULIA MARINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:MARINA
Last Name:BATRES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21114 ARCHSTONE WAY APT 208
Mailing Address - Street 2:208
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6994
Mailing Address - Country:US
Mailing Address - Phone:301-520-6061
Mailing Address - Fax:
Practice Address - Street 1:21114 ARCHSTONE WAY APT 208
Practice Address - Street 2:208
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6994
Practice Address - Country:US
Practice Address - Phone:301-520-6061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2011-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD148471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice