Individual
DR. LAWRENCE ANTHONY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
612 BROOKWOOD DR, OLYMPIA FIELDS, IL 60461-1508
(310) 497-0535
Mailing address
9515 NATIONAL BLVD, SUITE #1, LOS ANGELES, CA 90034-2863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-021776
IL
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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