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Organization
MICHAEL J. WHITE DDS INC
Active
Organization
MICHAEL J. WHITE DDS INC
Active
Other names
Fun Zone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES WHITE DDS (CEO)
(213) 596-8056
Entity
Organization
Contact information
Practice address
2002 S HOOVER ST, LOS ANGELES, CA 90007-1323
(213) 596-8056
Mailing address
5482 WILSHIRE BLVD, SUITE 154, LOS ANGELES, CA 90036-4218
(213) 596-8056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34257
CA
Other
Enumeration date
04/30/2009
Last updated
12/22/2009
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