Individual
MR. MORI KENT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2802 8TH ST, WOODWARD, OK 73801-6722
(580) 256-4301
(580) 256-1437
Mailing address
2802 8TH ST, WOODWARD, OK 73801-6722
(580) 256-4301
(580) 256-1437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5088
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516578
BC & BS OF KS
KS
01
—
727118
UNITED CONCORDIA
OK
01
—
731410006001
BC & BS OF OK
OK
Enumeration date
07/14/2006
Last updated
07/08/2007
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