Individual
ERIN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1025 N. TIOGA ST, ITHACA, NY 14850
(607) 272-4331
Mailing address
1025 N. TIOGA ST, ITHACA, NY 14850
(607) 272-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061698
NY
122300000X
Dentist
2014019548
MO
122300000X
Dentist
204301
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
09/24/2021
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