Organization
ASSOCIATES IN DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENNA N BATES DMD (PARTNER)
(606) 678-8881
Entity
Organization
Contact information
Practice address
29 EURY LN, SOMERSET, KY 42501-4115
(606) 678-8881
Mailing address
29 EURY LN, SOMERSET, KY 42501-4115
(606) 678-8881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7394
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61942892
—
KY
Enumeration date
01/08/2007
Last updated
10/13/2013
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