Individual
DOUGLAS W WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1535 N LEROY ST, STE F, FENTON, MI 48430-2791
(810) 629-5454
(810) 629-8932
Mailing address
1535 N LEROY ST, STE F, FENTON, MI 48430-2791
(810) 629-5454
(810) 629-8932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11647
MI
Other
Enumeration date
12/20/2006
Last updated
04/11/2013
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