DR. Larry David White SR., D.D.S.

NPI #1477541472 in Atoka, Tennessee

Provider Information

NPI Number: 1477541472
Entity Type: Individual
Name: DR. Larry David White SR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 12, 2005
Last Updated: Mar 16, 2009

Practice Location

Address: 11092 HIGHWAY 51 S STE B
City: Atoka
State: Tennessee
ZIP Code: 38004-4947
Phone: (901) 412-9540

Specialties & Taxonomy Codes

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

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