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NPI Code Detail

MEDICARE: JASMINE M. BACHTIGER D.M.D.

MEDICARE:   JASMINE M. BACHTIGER  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry44686CA

General Provider Information

NPI Number : 1366752628
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE M. BACHTIGER D.M.D.
Provider Business Mailing Address
First Line : 6 LOCH LOMOND DR
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-2503
Country : US
Telephone Number : 415-459-8006
Fax Number : 415-459-8015
Provider Business Practice Location Address
First Line : 6 LOCH LOMOND DR
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-2503
Country : US
Telephone Number : 415-459-8006
Fax Number : 415-459-8015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2010
Last Update Date : 10/20/2010

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Directions to “ JASMINE M. BACHTIGER D.M.D.” Practice Location

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