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Organization

CHRISTOPHER J BATES, DMD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER J BATES DMD (OWNER)
(253) 584-3121
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00006887
WA
1223G0001X
General Practice Dentistry
Primary
DE00011007
WA

Other

Enumeration date
03/22/2010
Last updated
03/22/2010
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