Individual
MR. BRAD LAMONT BATEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1005 13TH ST SE, SALEM, OR 97302-2506
(503) 364-7232
(503) 364-9187
Mailing address
1005 13TH ST SE, SALEM, OR 97302-2506
(503) 364-7232
(503) 364-9187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
39599
CA
122300000X
Dentist
Primary
D6913
OR
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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