Individual
DR. GWENNA NATASHA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
29 EURY LN, SOMERSET, KY 42501-4115
(606) 678-8881
(606) 678-8881
Mailing address
29 EURY LN, SOMERSET, KY 42501-4115
(606) 678-8881
(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
—
60073947
—
KY
Enumeration date
08/07/2006
Last updated
07/08/2007
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