Individual
ELI E. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6050 BABCOCK ST SE, SUITE 2, PALM BAY, FL 32909-3996
(321) 725-9946
(321) 951-7389
Mailing address
6050 BABCOCK ST SE, SUITE 2, PALM BAY, FL 32909-3996
(321) 725-9946
(321) 951-7389
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN3038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN3038
LICENSE NUMBER
FL
Enumeration date
02/12/2007
Last updated
07/08/2007
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