Individual
MARK WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
437 W DEMING PL, 9TH FLOOR DENTISTRY, CHICAGO, IL 60614-3393
(312) 227-6050
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 857-4498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031419
IL
122300000X
Dentist
Primary
1001296
WI
1223P0221X
Pediatric Dentistry
021.003126
IL
Other
Enumeration date
06/09/2016
Last updated
01/26/2024
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