Individual
TRICIA DAVID BATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
26800 CROWN VALLEY PKWY, STE 375, MISSION VIEJO, CA 92691-6384
(949) 388-3877
Mailing address
19300 BRAES RIVER DR, WALNUT, CA 91789-4234
(626) 912-7209
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53695
CA
Other
Enumeration date
03/10/2008
Last updated
12/02/2009
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