Individual
DR. JARED RUSSELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
431 W 600 N, TREMONTON, UT 84337-2411
(435) 257-3210
(435) 257-5436
Mailing address
PO BOX 236, TREMONTON, UT 84337-0236
(435) 257-3210
(435) 257-5436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7007555-9922
UT
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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