Individual
ADRIANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19900 OLD SCENIC HWY, SUITE D, ZACHARY, LA 70791-7368
(601) 316-3212
Mailing address
3347 MEADOW GROVE AVE, ZACHARY, LA 70791-5485
(601) 316-3212
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6634
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN1001536
DC
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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