Organization
RICHARD J WHITE DDS LLC
Active
Other names
Olson & White Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J WHITE DDS (OWNER)
(636) 978-9585
Entity
Organization
Contact information
Practice address
1265 GRAHAM ROAD, SUITE C, FLORISSANT, MO 63031
(314) 838-8762
(314) 838-8802
Mailing address
103 O'FALLON COMMONS DR, O'FALLON, MO 63368
(636) 978-9585
(636) 978-9720
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2001013486
MO
Other
Enumeration date
09/13/2006
Last updated
12/02/2010
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