# WHITE ROSE FAMILY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639826415
- **Authorized official:** BENJAMIN TUINEI (CREDENTIALING MANAGER)
- **Authorized official phone:** (602) 750-6897

## Contact information

- **Practice address:** 15 CINEMA DR, YORK, PA 17402-2656
- **Practice address phone:** (443) 481-7743
- **Mailing address:** 15 CINEMA DR, YORK, PA 17402-2656
- **Mailing address phone:** (443) 481-7743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2022
- **Last updated:** 03/02/2022