Individual
DR. CECIL WHITE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2080 CHILD ST, 2080 CHILD STREET, JACKSONVILLE, FL 32214-5005
(904) 270-4467
(904) 270-4478
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 270-4467
(904) 270-4478
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0401008401
VA
1223P0300X
Periodontics
12009165A
IN
1223P0300X
Periodontics
Primary
DN 9020
FL
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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