Individual
MISS CARMEN MARIE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
116 SEYMOUR ST, BLOSSBURG, PA 16912-1418
(570) 638-3468
Mailing address
470 WHEELER RD, GILLETT, PA 16925-9306
(570) 463-3998
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH074676
PA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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