# JUSTIN H YEATES DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yeates Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639457468
- **Authorized official:** JUSTIN HERMANN YEATES DDS (MEMBER.OWNER)
- **Authorized official phone:** (360) 855-1689

## Contact information

- **Practice address:** 825 MURDOCK ST, SEDRO WOOLLEY, WA 98284-1451
- **Practice address phone:** (360) 855-1689
- **Practice address fax:** (360) 855-1689
- **Mailing address:** 825 MURDOCK ST, SEDRO WOOLLEY, WA 98284-1451
- **Mailing address phone:** (360) 855-1689
- **Mailing address fax:** (360) 855-1689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE11024 | WA | Yes |

## Other

- **Enumeration date:** 07/27/2011
- **Last updated:** 07/27/2011