Provider Demographics
NPI:1245728666
Name:DENTAL ARTS PRACTICE OF DR. ALBINA BATCHAEVA
Entity type:Organization
Organization Name:DENTAL ARTS PRACTICE OF DR. ALBINA BATCHAEVA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ALBINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATCHAEVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-757-0604
Mailing Address - Street 1:450 SUTTER ST RM 1925
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4107
Mailing Address - Country:US
Mailing Address - Phone:415-757-0604
Mailing Address - Fax:
Practice Address - Street 1:450 SUTTER ST RM 1925
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4107
Practice Address - Country:US
Practice Address - Phone:415-757-0604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62849122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty