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Organization
WHITE FAMILY DENTAL - WILLOW STREET
Active
Organization
WHITE FAMILY DENTAL - WILLOW STREET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD E WHITE DDS (OWNER)
(717) 367-1336
Entity
Organization
Contact information
Practice address
212 WILLOW VALLEY DRIVE, SUITE 209, WILLOW STREET, PA 17584
(717) 740-2200
(717) 205-2090
Mailing address
100 CONTINENTAL DR, ELIZABETHTOWN, PA 17022-2260
(717) 740-2200
(717) 205-2090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023279L
PA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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