Organization
JOHNATHAN R. WHITE DDS LLC
Active
Other names
Aesthetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNATHAN R WHITE DDS (OWNER)
(702) 823-3000
Entity
Organization
Contact information
Practice address
8084 W SAHARA AVE, SUITE G, LAS VEGAS, NV 89117-2073
(702) 823-3000
(702) 685-8254
Mailing address
8084 W SAHARA AVE, SUITE G, LAS VEGAS, NV 89117-2073
(702) 823-3000
(702) 685-8254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5556
NV
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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