Individual
MAXWELL EUGENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1831 N ROCK ROAD CT, SUITE 101, WICHITA, KS 67206-1373
(316) 652-0000
Mailing address
4321 N DELLROSE CIR, WICHITA, KS 67220-2655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60967
KS
Other
Enumeration date
05/02/2014
Last updated
06/09/2014
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