Organization
WHITE SMILES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN CHRISTOPHER WHITE DDS (OWNER)
(763) 515-3615
Entity
Organization
Contact information
Practice address
6563 LAKETOWNE PL, A, ALBERTVILLE, MN 55301-4510
(985) 630-2306
Mailing address
2074 PONDEROSA PL, MANDEVILLE, LA 70448-7524
(985) 630-2306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13202
MN
Other
Enumeration date
10/24/2014
Last updated
09/06/2024
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