Lance Anthony White
NPI #1336703990 in Imperial Beach, California
Provider Information
- NPI Number
- 1336703990
- Entity Type
- Individual
- Name
- Lance Anthony White
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Assistant
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Apr 29, 2019
Practice Location
- Address
- 1302 HOLLY AVE
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932-3709
- Phone
- (619) 451-0610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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