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Individual

ELLEIGH JAE BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3615 S GRAND BLVD, SPOKANE, WA 99203-2624
(509) 456-8676
Mailing address
2420 E 54TH LN, SPOKANE, WA 99223-9158
(360) 244-3765

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61457306
WA

Other

Enumeration date
12/21/2023
Last updated
12/21/2023
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