Individual
DR. BRENT WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2159 CRAIN HWY, WALDORF, MD 20601-3155
(301) 843-6171
Mailing address
2159 CRAIN HWY, WALDORF, MD 20601-3155
(301) 843-6171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12373
MD
Other
Enumeration date
06/19/2010
Last updated
06/19/2010
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