Individual
DYLAN BATLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
389 SW CHAPEL HILL ST, LAKE CITY, FL 32025-6921
(386) 752-1220
(386) 438-5118
Mailing address
5210 NW 93RD AVE, GAINESVILLE, FL 32653-7809
(352) 222-1602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26611
FL
390200000X
Student in an Organized Health Care Education/Training Program
13085
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2021
Last updated
08/10/2022
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