Dr. Ivy Batos, DMD
Dentist, Periodontics in Willoughby, OH. Individual provider (NPI-1).
NPI number1205980059
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1205980059
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivy Batos
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 20032 | OH | Yes |
Practice location
34920 Ridge RdSuite 200
Willoughby, OH 44094-4190
Phone 440-951-1008 · Fax 440-951-6848
Mailing address
34920 Ridge RdSuite 200
Willoughby, OH 44094-4190
Phone 440-951-1008 · Fax 440-951-6848
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