| White Dental Studio Pc | |
|
727 N Main St Ashland OR 97520-1752 | |
| (541) 708-6288 | |
| (541) 708-6278 |
| Full Name | White Dental Studio Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 727 N Main St, Ashland, Oregon |
| Authorized Official Name and Position | Brandon Adam White (OWNER/PRESIDENT) |
| Authorized Official Contact | 5417086288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Dental Studio Pc 727 N Main St Ashland OR 97520-1752 Ph: (541) 708-6288 | White Dental Studio Pc 727 N Main St Ashland OR 97520-1752 Ph: (541) 708-6288 |
| NPI Number | 1457722134 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457722134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8919 (Oregon) | Primary |
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