Individual
KAMBERLY D. TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3006 N COUNTY ROAD 25A STE 202, TROY, OH 45373-1372
(937) 552-9028
Mailing address
1415 HIGHWAY 85 N STE 310-154, FAYETTEVILLE, GA 30214-7738
(678) 849-3493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026693
OH
Other
Enumeration date
05/21/2019
Last updated
06/29/2022
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