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Individual

JOSEPH LEO BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
222 E WASHINGTON AVE E, ALBIA, IA 52531
(641) 932-2020
(641) 932-7602
Mailing address
222 E WASHINGTON AVE E, ALBIA, IA 52531
(641) 932-2020
(641) 932-7602

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7538 201779465
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1100321
IA
01
13786
BCBS
IA
01
J0709335
JOHN DEERE
IA
Enumeration date
04/03/2007
Last updated
07/08/2007
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