DR. KENYATTA MACK-GATES, DDS
Dentist
Active
Individual
NPI: 1023007374
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 0401411320 (VA) |
| Dentist | 122300000X | Yes | 048566 (NY) |
Frequently Asked Questions
NPI 1023007374 is the National Provider Identifier for DR. KENYATTA MACK-GATES, DDS, a Dentist provider located in Middletown, NY. This NPI was enumerated on October 19, 2005.
DR. KENYATTA MACK-GATES, DDS practices at 61 ORANGE PLAZA LN, Middletown, NY 10940.
Quick Facts
- NPI
- 1023007374
- Type
- Individual
- Enumerated
- Oct 19, 2005
- Last Updated
- Jul 31, 2013
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