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Individual
DR. FADRA M WHYTE
Active
Individual
DR. FADRA M WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62096
CA
1223P0221X
Pediatric Dentistry
#390200000X
NY
1223P0221X
Pediatric Dentistry
22DI02439000
NJ
Other
Enumeration date
03/01/2010
Last updated
08/03/2016
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