Individual
DR. JAMIE RAE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S., DHSC
Contact information
Practice address
2107 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4563
(520) 390-1982
Mailing address
PO BOX 1263, TUBAC, AZ 85646-1263
(520) 390-1982
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D008101
AZ
Other
Enumeration date
01/08/2011
Last updated
01/26/2015
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