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Individual

DANIEL SHAYNE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
222 EAST CEDAR AVE, CRESTVIEW, FL 32536-2706
(850) 682-2720
Mailing address
222 EAST CEDAR AVE, CRESTVIEW, FL 32536-2706
(850) 682-2720

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
223042
AK
1223G0001X
General Practice Dentistry
Primary
DN27984
FL

Other

Enumeration date
03/11/2022
Last updated
06/09/2025
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