DR. Jared Russell White, D.D.S.

NPI #1154583995 in Tremonton, Utah

Provider Information

NPI Number: 1154583995
Entity Type: Individual
Name: DR. Jared Russell White, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 1, 2008
Last Updated: Jul 1, 2008

Practice Location

Address: 431 W 600 N
City: Tremonton
State: Utah
ZIP Code: 84337-2411
Phone: (435) 257-3210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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