Individual
DR. MARK K BATESOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
178 S VICTORIA AVE STE C, VENTURA, CA 93003-4369
(805) 628-2425
Mailing address
1055 BANGOR LN, VENTURA, CA 93001-3820
(949) 374-6458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
45821
CA
Other
Enumeration date
10/02/2006
Last updated
08/13/2020
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