Individual
DR. CHARLES ROBERT WHITE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 GUILBEAU ROAD, LAFAYETTE, LA 70506
(337) 988-7783
(337) 988-7765
Mailing address
320 GUILBEAU ROAD, LAFAYETTE, LA 70506
(337) 988-7783
(337) 988-7765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA4994
LA
Other
Enumeration date
03/28/2007
Last updated
02/10/2009
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