Organization
JAY K. WHITE, DDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KENNETH WHITE D.D.S. (PRESIDENT)
(703) 751-7600
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 320, ALEXANDRIA, VA 22304-1313
(703) 751-7600
Mailing address
4660 KENMORE AVE, SUITE 320, ALEXANDRIA, VA 22304-1313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006529
VA
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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