Individual
DR. ROBERT WILSON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
415 BROAD ST, SUITE 201, LAKE GENEVA, WI 53147-1800
(126) 224-8382
Mailing address
415 BROAD ST, SUITE 201, LAKE GENEVA, WI 53147-1800
(126) 224-8382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
581G
WI
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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