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Organization
ELISHA MAYES, DDS, PC
Active
Organization
ELISHA MAYES, DDS, PC
Active
Other names
Eli Mayes Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTAY SABIN MAYES (MANAGER)
(303) 229-0004
Entity
Organization
Contact information
Practice address
1502 N PINE ST, SUITE 2, LA GRANDE, OR 97850-3543
(541) 963-8585
(541) 963-6633
Mailing address
1502 N PINE ST, SUITE 2, LA GRANDE, OR 97850-3543
(541) 963-8585
(541) 963-6633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9190
OR
Other
Enumeration date
02/17/2015
Last updated
04/04/2017
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