| Richard J White Dds Llc | |
|
1265 Graham Road Suite C Florissant MO 63031 | |
| (314) 838-8762 | |
| (314) 838-8802 |
| Full Name | Richard J White Dds Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1265 Graham Road, Florissant, Missouri |
| Authorized Official Name and Position | Richard J White (OWNER) |
| Authorized Official Contact | 6369789585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J White Dds Llc 103 O'fallon Commons Dr O'fallon MO 63368 Ph: (636) 978-9585 | Richard J White Dds Llc 1265 Graham Road Suite C Florissant MO 63031 Ph: (314) 838-8762 |
| NPI Number | 1265537443 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265537443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2001013486 (Missouri) | Primary |
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