Organization
ELISHA MAYES, DDS, PC
Active
Other names
Eli Mayes Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTAY SABIN MAYES (MANAGER)
(303) 229-0004
Entity
Organization
Contact information
Practice address
1502 N PINE ST, SUITE 2, LA GRANDE, OR 97850-3543
(541) 963-8585
(541) 963-6633
Mailing address
1502 N PINE ST, SUITE 2, LA GRANDE, OR 97850-3543
(541) 963-8585
(541) 963-6633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9190
OR
Other
Enumeration date
02/17/2015
Last updated
04/04/2017
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