Individual
DR. LENA ADELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1962 US HIGHWAY 17, RICHMOND HILL, GA 31324-6463
(912) 756-3000
Mailing address
PO BOX 8, BARTOW, GA 30413-0008
(912) 220-9037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DGD.10491
SC
1223G0001X
General Practice Dentistry
Primary
DN123074
GA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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