| NPI | 1831649003 |
|---|---|
| Former Legal Business Name | WASHBURN SMILES, INC |
| Entity Type | Organization |
| Authorized Contact | KATHRYN ELAINE MCATEE President 541-887-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2021-08-10 |