DR. Brent White JR., D.D.S

NPI #1346561719 in Waldorf, Maryland

Provider Information

NPI Number: 1346561719
Entity Type: Individual
Name: DR. Brent White JR., D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jun 19, 2010
Last Updated: Jun 19, 2010

Practice Location

Address: 2159 CRAIN HWY
City: Waldorf
State: Maryland
ZIP Code: 20601-3155
Phone: (301) 843-6171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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