Organization
VETERANS PARK DRE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G WHITE DDS (MANAGING MEMBER)
(859) 533-1109
Entity
Organization
Contact information
Practice address
4384 CLEARWATER WAY STE 110, LEXINGTON, KY 40515-6479
(859) 272-0800
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109
(859) 533-1109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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