Individual
BLAIR ALAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
807 FERNWOOD RD, ROYAL OAK, MI 48067-1638
(989) 737-6046
Mailing address
807 FERNWOOD RD, ROYAL OAK, MI 48067-1638
(989) 737-6046
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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