DR. Fred Ashley White, D.D.S.

NPI #1073651436 in Hawthorne, Florida

Provider Information

NPI Number: 1073651436
Entity Type: Individual
Name: DR. Fred Ashley White, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 1, 2007
Last Updated: Oct 14, 2015

Practice Location

Address: 6605 SE 221ST ST
City: Hawthorne
State: Florida
ZIP Code: 32640-3815
Phone: (352) 481-2741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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