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Individual

DR. ELISHA BRETT MAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1502 N PINE ST STE 2, LA GRANDE, OR 97850-3543
(541) 963-8585
Mailing address
1502 N PINE ST STE 2, LA GRANDE, OR 97850-3543
(541) 963-8585
(541) 963-6633

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1193
AK
122300000X
Dentist
Primary
D9190
OR

Other

Enumeration date
03/19/2007
Last updated
01/15/2026
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