Individual
JASMINE M. BACHTIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6 LOCH LOMOND DR, SAN RAFAEL, CA 94901-2503
(415) 459-8006
(415) 459-8015
Mailing address
6 LOCH LOMOND DR, SAN RAFAEL, CA 94901-2503
(415) 459-8006
(415) 459-8015
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
44686
CA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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