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Organization
JAY K. WHITE, DDS, LTD.
Active
Organization
JAY K. WHITE, DDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KENNETH WHITE D.D.S. (PRESIDENT)
(703) 751-7600
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 320, ALEXANDRIA, VA 22304-1313
(703) 751-7600
Mailing address
4660 KENMORE AVE, SUITE 320, ALEXANDRIA, VA 22304-1313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006529
VA
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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