Individual
MR. MARK WILLIAM WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1360 RAMAR RD, BULLHEAD CITY, AZ 86442-7146
(928) 763-8111
(928) 763-4137
Mailing address
1360 RAMAR RD, BULLHEAD CITY, AZ 86442-7146
(928) 763-8111
(928) 763-4137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2833
AZ
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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