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Organization
WHITE FAMILY DENTAL - MASONIC VILLAGE PLLC
Active
Organization
WHITE FAMILY DENTAL - MASONIC VILLAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 783-5945
Entity
Organization
Contact information
Practice address
83 NORTH FREEMASON DR, ELIZABETHTOWN, PA 17022
(717) 366-2466
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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