Individual
DR. GARY LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
DORN VA MEDICAL CENTER, 6439 GARNERS FERRY RD., COLUMBIA, SC 29209-1639
(803) 776-4000
(803) 695-6712
Mailing address
108 WOODLANDS W, COLUMBIA, SC 29229-3377
(803) 788-5084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3238
SC
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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