Organization
WHITE DENTAL STUDIO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON ADAM WHITE DDS (OWNER/PRESIDENT)
(541) 708-6288
Entity
Organization
Contact information
Practice address
727 N MAIN ST, ASHLAND, OR 97520-1752
(541) 708-6288
(541) 708-6278
Mailing address
727 N MAIN ST, ASHLAND, OR 97520-1752
(541) 708-6288
(541) 708-6278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8919
OR
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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