Organization
ELISHA MAYES, DDS, PC
Active
Other names
Elgin Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTAY S MAYES (OFFICE MANAGER)
(303) 229-0004
Entity
Organization
Contact information
Practice address
570 S. 8TH AVE, ELGIN, OR 97827
(541) 437-6321
Mailing address
PO BOX 929, ELGIN, OR 97827-0929
(541) 437-6321
(541) 437-1477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9190
OR
Other
Enumeration date
05/14/2013
Last updated
04/05/2017
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