| White Dental, Pllc | |
|
431 W 600 N Tremonton UT 84337-2411 | |
| (435) 257-3210 | |
| (435) 257-5436 |
| Full Name | White Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 431 W 600 N, Tremonton, Utah |
| Authorized Official Name and Position | Russell Eugene White (PARTNER) |
| Authorized Official Contact | 4352573210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Dental, Pllc Po Box 236 Tremonton UT 84337-0236 Ph: (435) 257-3210 | White Dental, Pllc 431 W 600 N Tremonton UT 84337-2411 Ph: (435) 257-3210 |
| NPI Number | 1568751683 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568751683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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