Organization
ELLIE BASH, DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE BASH DDS, MS (OWNER/PRESIDENT)
(919) 288-4724
Entity
Organization
Contact information
Practice address
3001 ACADEMY RD STE 250, DURHAM, NC 27707-2653
(919) 489-3204
Mailing address
708 SUMTER CT, CARY, NC 27519-7587
(919) 288-4724
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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