DR. Dale Daniel White, DMD

NPI #1992173793 in Provo, Utah

Provider Information

NPI Number: 1992173793
Entity Type: Individual
Name: DR. Dale Daniel White, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 10, 2015
Last Updated: Sep 10, 2015

Practice Location

Address: 3651 N 100 E STE 200
City: Provo
State: Utah
ZIP Code: 84604-4553
Phone: (801) 960-3644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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