Individual
TYRESIA JOVON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
440 SOCIETY HILL DR STE 201, AIKEN, SC 29803
(803) 716-8054
(803) 642-1395
Mailing address
440 SOCIETY HILL DR STE 201, AIKEN, SC 29803-1755
(803) 716-8054
(803) 642-1395
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
904
SC
Other
Enumeration date
07/25/2013
Last updated
12/03/2019
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