Individual
DR. LARRY WELDON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
6500 GREENVILLE AVE, SUITE 105, DALLAS, TX 75206-1014
(214) 812-9987
Mailing address
8018 GLEN ALBENS CIR, DALLAS, TX 75225-1843
(214) 363-5447
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6768
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007835402
—
TX
Enumeration date
07/07/2009
Last updated
02/21/2017
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