Organization
WHITE SMILES
Active
Organization
WHITE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CLARK (OFFICE MANAGER)
(704) 869-9661
Entity
Organization
Contact information
Practice address
3044 E FRANKLIN BLVD, SUITE 4, GASTONIA, NC 28056-5400
(704) 869-9661
Mailing address
3044 E FRANKLIN BLVD, SUITE 4, GASTONIA, NC 28056-5400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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