MRS. Mitra Darice Waite, DMD, PHD

NPI #1619497989 in Madison, Alabama

Provider Information

NPI Number: 1619497989
Entity Type: Individual
Name: MRS. Mitra Darice Waite, DMD, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD, PHD
Enumeration Date: Jun 27, 2017
Last Updated: Jan 23, 2026

Practice Location

Address: 20 HUGHES RD
Address 2: SUITE 104
City: Madison
State: Alabama
ZIP Code: 35758
Phone: (256) 864-9571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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