Organization
JERALD D. BATES, D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD D. BATES D.D.S. (PRESIDENT/DENTIST)
(425) 483-1101
Entity
Organization
Contact information
Practice address
13515 NE 175TH ST, SUITE A, WOODINVILLE, WA 98072-8566
(425) 483-1101
(425) 487-6605
Mailing address
13515 NE 175TH ST, SUITE A, WOODINVILLE, WA 98072-8566
(425) 483-1101
(425) 487-6605
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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