Dr William White Pc | |
225 Gooding St La Salle IL 61301-2442 | |
(815) 224-1865 | |
Not Available |
Full Name | Dr William White Pc |
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Speciality | Dentist |
Location | 225 Gooding St, La Salle, Illinois |
Authorized Official Name and Position | William Michael White (PRESIDENT) |
Authorized Official Contact | 8152241865 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr William White Pc 225 Gooding St La Salle IL 61301-2442 Ph: (815) 224-1865 | Dr William White Pc 225 Gooding St La Salle IL 61301-2442 Ph: (815) 224-1865 |
NPI Number | 1568786341 |
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Provider Enumeration Date | 03/23/2010 |
Last Update Date | 03/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568786341 | NPI | - | NPPES |
101268 | Medicaid | IL | |
1004181 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019018468 (Illinois) | Primary |