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Individual
DR. MICHELE SUSAN WHITE
Active
Individual
DR. MICHELE SUSAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117867
DENTAL BENEFIT PROVIDER
TX
01
—
19158
LICENSE #
TX
01
—
553022
UNITED CONCORDIA
TX
01
—
B1915801
TEXAS CHIP
TX
01
—
D284806
CIGNA INS.
TX
Enumeration date
02/06/2007
Last updated
07/08/2007
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