DR. Thomas George White JR., D.D.S.

NPI #1326057407 in O Fallon, Missouri

Provider Information

NPI Number: 1326057407
Entity Type: Individual
Name: DR. Thomas George White JR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1043 E TERRA LN
City: O Fallon
State: Missouri
ZIP Code: 63366-2750
Phone: (636) 240-7606

Specialties & Taxonomy Codes

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

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