Individual
BETHANY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5506 WHITESIDE RD, SANDSTON, VA 23150-2345
(804) 322-3669
Mailing address
3501 MIDDLEWICH WAY, HENRICO, VA 23231-2403
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401418760
VA
Other
Enumeration date
06/01/2022
Last updated
08/19/2024
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