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Individual
SHAUN TRAVIS WHITE
Active
Individual
SHAUN TRAVIS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10160
NC
Other
Enumeration date
08/06/2009
Last updated
12/18/2019
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