Individual
DR. MICHAEL ALLEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1299 BISHOP RD STE A, CHEHALIS, WA 98532-8758
(360) 748-0168
(360) 748-0160
Mailing address
1299 BISHOP RD STE A, CHEHALIS, WA 98532-8758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
59361
CA
122300000X
Dentist
Primary
60319901
WA
Other
Enumeration date
06/17/2010
Last updated
01/08/2013
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