Provider Demographics
NPI:1740309798
Name:BATE, WILLIAM SANTFORD (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SANTFORD
Last Name:BATE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:11777 BERNARDO PLAZA COURT
Mailing Address - Street 2:SUITE #207
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2451
Mailing Address - Country:US
Mailing Address - Phone:858-673-0737
Mailing Address - Fax:858-673-9614
Practice Address - Street 1:11777 BERNARDO PLAZA CT
Practice Address - Street 2:SUITE #207
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2405
Practice Address - Country:US
Practice Address - Phone:858-673-0737
Practice Address - Fax:858-673-9614
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA380351223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery