| Bruce White Dds P.c. | |
|
1222 E Missouri Ave #201 Phoenix AZ 85014-2922 | |
| (602) 264-8511 | |
| (602) 264-3138 |
| Full Name | Bruce White Dds P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1222 E Missouri Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Bruce A White (PRESIDENT) |
| Authorized Official Contact | 6022648511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce White Dds P.c. 1222 E Missouri Ave #201 Phoenix AZ 85014-2922 Ph: (602) 264-8511 | Bruce White Dds P.c. 1222 E Missouri Ave #201 Phoenix AZ 85014-2922 Ph: (602) 264-8511 |
| NPI Number | 1720130172 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720130172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3614 (Arizona) | Primary |
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