NPI 1013654912
Brenda J Bates, CRDH
Practice location
- Address
- 619 S Marion Ave, Lake City, FL 32025-5808
- Phone
- (386) 155-3016
- Mailing address
- PO Box 739, Branford, FL 32008-0739
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1013654912
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 May 2022
- Record last updated
- 13 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.