Organization
WHITE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL EUGENE WHITE D.D.S. (PARTNER)
(435) 257-3210
Entity
Organization
Contact information
Practice address
431 W 600 N, TREMONTON, UT 84337-2411
(435) 257-3210
(435) 257-5436
Mailing address
PO BOX 236, TREMONTON, UT 84337-0236
(435) 257-3210
(435) 257-5436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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