White Family Dental - Masonic Village Pllc
NPI #1275913584 in Elizabethtown, Pennsylvania
Provider Information
- NPI Number
- 1275913584
- Entity Type
- Organization
- Organization Name
- White Family Dental - Masonic Village Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 2, 2015
- Last Updated
- Jun 2, 2015
Practice Location
- Address
- 83 NORTH FREEMASON DR
- City
- Elizabethtown
- State
- Pennsylvania
- ZIP Code
- 17022
- Phone
- (717) 366-2466
Authorized Official
- Name
- STEPHEN JAMES
- Title
- CFO
- Phone
- (502) 783-5945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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