Individual
DR. JILL MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
056566
NY
1223G0001X
General Practice Dentistry
101209
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
056566
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
101209
CA
Other
Enumeration date
07/13/2010
Last updated
08/07/2018
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