Individual
DR. ANTWAN DEVON BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2041 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-5147
(336) 777-1272
Mailing address
7465 HENSON FOREST DR, SUMMERFIELD, NC 27358-8318
(865) 742-5002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09409
NC
Other
Enumeration date
03/24/2011
Last updated
10/16/2023
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