Individual
DR. JOHN ARTHUR WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7601 MACK AVE, DETROIT, MI 48214-1715
(313) 921-4166
(313) 921-4727
Mailing address
19212 OHIO ST, DETROIT, MI 48221-3226
(313) 342-4737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571621
—
MI
01
—
953824
UNITED CONCORDIA
MI
Enumeration date
05/23/2007
Last updated
07/08/2007
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