Individual
CONNIE LOU WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
650 EAST 25TH STREET, SCHOOL OF DENTISTRY, KANSAS CITY, MO 64108-2784
(816) 235-2100
(816) 235-5472
Mailing address
650 EAST 25TH STREET, SCHOOL OF DENTISTRY, KANSAS CITY, MO 64108-2784
(816) 235-2135
(816) 235-5472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013621
MO
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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