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Individual

DR. DAVID ANDREW BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2575 HAMLINE AVE N, SUITE F, ROSEVILLE, MN 55113-3175
(651) 636-2373
(651) 636-2374
Mailing address
2575 HAMLINE AVE N, SUITE F, ROSEVILLE, MN 55113-3175
(651) 636-2373
(651) 636-2374

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12749
MN

Other

Enumeration date
09/16/2009
Last updated
09/16/2009
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