Organization
DAVID H WHITE DMD LLC
Active
Other names
Hucrest Family and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H WHITE DMD (OWNER)
(541) 673-6525
Entity
Organization
Contact information
Practice address
1600 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-6525
(541) 672-6414
Mailing address
1600 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-6525
(541) 672-6414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598852303
—
OR
Enumeration date
12/22/2023
Last updated
01/03/2024
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