Provider Demographics
NPI:1265568794
Name:BATTAN, ROBERT LOUIS (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOUIS
Last Name:BATTAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7080 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-6906
Mailing Address - Country:US
Mailing Address - Phone:323-469-1935
Mailing Address - Fax:323-469-1701
Practice Address - Street 1:7080 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-6906
Practice Address - Country:US
Practice Address - Phone:323-469-1935
Practice Address - Fax:323-469-1701
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADY0332401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice