Michael S. White

NPI #1265695787 in Colorado City, Texas

Provider Information

NPI Number: 1265695787
Entity Type: Organization
Organization Name: Michael S. White
Primary Specialty: Dentist
Enumeration Date: Jul 3, 2008
Last Updated: Jul 3, 2008

Practice Location

Address: 446 WALNUT ST
City: Colorado City
State: Texas
ZIP Code: 79512-6222
Phone: (325) 728-3151

Authorized Official

Name: TABBATHA S WHITE
Title: RDH
Phone: (325) 728-3151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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