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Individual

DR. KATRINA CAROL WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
4330 HIGHWAY 78 E, SUITE 121, JASPER, AL 35501-8905
(205) 384-9104
(205) 384-9102
Mailing address
4330 HIGHWAY 78 E, SUITE 121, JASPER, AL 35501-8905
(205) 384-9104
(205) 384-9102

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4967
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51506630
BLUE CROSS
AL
Enumeration date
03/13/2007
Last updated
07/08/2007
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