Individual
DAVID BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
670 NE 3RD ST, PRINEVILLE, OR 97754-2021
(541) 447-3855
Mailing address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10997
OR
122300000X
Dentist
RR60482579
WA
Other
Enumeration date
02/24/2015
Last updated
02/20/2019
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