Jerald D. Bates, D.d.s., Pllc

NPI #1174976476 in Woodinville, Washington

Provider Information

NPI Number
1174976476
Entity Type
Organization
Organization Name
Jerald D. Bates, D.d.s., Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 21, 2016
Last Updated
Jul 21, 2016

Practice Location

Address
13515 NE 175TH ST
Address 2
SUITE A
ZIP Code
98072-8566
Phone
(425) 483-1101

Authorized Official

Name
DR. JERALD D. BATES, D.D.S.
Title
PRESIDENT/DENTIST
Phone
(425) 483-1101

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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