Individual
DR. TRAVIS CARL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-6337
Mailing address
8619 E RENO AVE APT 3, MIDWEST CITY, OK 73110-6963
(580) 212-5410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7032
OK
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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