Individual
KURT EDWARD BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTURIST
Contact information
Practice address
165 ACADEMY ST, PRESQUE ISLE, ME 04769-3170
(207) 764-5675
Mailing address
165 ACADEMY ST, PRESQUE ISLE, ME 04769-3170
(207) 764-5675
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTR5529
ME
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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