Provider Demographics
NPI:1992329585
Name:BATNIJI, NERMINE SAMIR (DDS)
Entity type:Individual
Prefix:DR
First Name:NERMINE
Middle Name:SAMIR
Last Name:BATNIJI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24155 LODGE POLE RD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3362
Mailing Address - Country:US
Mailing Address - Phone:909-816-8522
Mailing Address - Fax:
Practice Address - Street 1:1111 GRAND AVE STE D
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2230
Practice Address - Country:US
Practice Address - Phone:909-396-9944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1033411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics