# CHRISTOPHER J BATES, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215251160
- **Authorized official:** CHRISTOPHER J BATES DMD (OWNER)
- **Authorized official phone:** (253) 584-3121

## Contact information

- **Practice address:** 10828 GRAVELLY LAKE DR SW, SUITE 111, LAKEWOOD, WA 98499-1334
- **Practice address phone:** (253) 584-3121
- **Practice address fax:** (253) 582-2484
- **Mailing address:** 10828 GRAVELLY LAKE DR SW, SUITE 111, LAKEWOOD, WA 98499-1334
- **Mailing address phone:** (253) 584-3121
- **Mailing address fax:** (253) 582-2484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00006887 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00011007 | WA | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/22/2010