Organization
WHITE FAMILY DENTAL - MASONIC VILLAGE LLC
Active
Other names
White Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
600 FREEMASON DR, ELIZABETHTOWN, PA 17022-3200
(717) 366-2466
Mailing address
600 FREEMASON DR, ELIZABETHTOWN, PA 17022-3200
(717) 366-2466
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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