DR. Kenyatta Mack-Gates, DDS

NPI #1023007374 in Middletown, New York

Provider Information

NPI Number: 1023007374
Entity Type: Individual
Name: DR. Kenyatta Mack-Gates, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 19, 2005
Last Updated: Jul 31, 2013

Practice Location

Address: 61 ORANGE PLAZA LN
City: Middletown
State: New York
ZIP Code: 10940-2254
Phone: (845) 344-3844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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