Individual
DR. CHARLES ADRIAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS MSD
Contact information
Practice address
201 N 34TH, ROGERS, AR 72756
(479) 631-6074
(479) 936-8660
Mailing address
201 N 34TH ST, ROGERS, AR 72756
(479) 631-6074
(479) 936-8660
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
AR2675
AR
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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