Individual
DR. RAYMOND WADE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D. S.
Contact information
Practice address
611 NE MAIN ST, LEWISTOWN, MT 59457-2020
(406) 538-2347
Mailing address
230 CASTLE BUTTE RD, LEWISTOWN, MT 59457-8764
(406) 538-3709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1316
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110045
—
MT
Enumeration date
08/31/2006
Last updated
07/08/2007
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