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Organization
ROBERT D WHITE DDS
Active
Organization
ROBERT D WHITE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DANIEL WHITE DDS (OWNER)
(512) 847-9521
Entity
Organization
Contact information
Practice address
140 JOE WIMBERLEY BLVD, WIMBERLEY, TX 78676-0319
(512) 847-9521
(512) 847-6185
Mailing address
PO BOX 319, 140 JOE WIMBERLEY BLVD, WIMBERLEY, TX 78676-0319
(512) 847-9521
(512) 847-6185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013423
STATE LICENSE
TX
01
—
31152
STATE LICENSE NUMBER
TX
Enumeration date
02/15/2016
Last updated
02/15/2016
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