Organization
NICHOLAS WHITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS D WHITE DDS (DENTIST)
(314) 435-3092
Entity
Organization
Contact information
Practice address
5835 NE ALAMEDA ST, PORTLAND, OR 97213-3425
(503) 281-5076
Mailing address
5835 NE ALAMEDA ST, PORTLAND, OR 97213-3425
(503) 281-5076
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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