| NPI | 1962777532 |
|---|---|
| Doing Business As | CANBY SMILES |
| Entity Type | Organization |
| Authorized Contact | KIM DENISE CHURCHWELL Office Manager 503-266-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6435) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |