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Individual
DR. ELIZABETH S WHITE
Active
Individual
DR. ELIZABETH S WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4203
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00830574
UNITED CONCORDIA PROVIDER
AL
01
—
91755
BC/BS OF AL PROVIDER
AL
Enumeration date
07/17/2006
Last updated
07/09/2007
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