Individual
DR. ZACHARY DANIEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1070 24TH AVE SW, ALBANY, OR 97321-7539
(541) 936-9222
Mailing address
1210 NW 21ST ST, ALBANY, OR 97321-1200
(971) 804-1675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11118
OR
1223G0001X
General Practice Dentistry
D11118
OR
Other
Enumeration date
08/07/2019
Last updated
10/03/2024
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