| NPI | 1902862709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX W HIGBEE Owner/Operator 541-548-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D4439) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-11-29 |