Individual
GLENNETTA B WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5900 E VIRGINIA BEACH BLVD, SUITE 70, NORFOLK, VA 02126-2503
(757) 466-3622
Mailing address
5900 E VIRGINIA BEACH BLVD, SUITE 70, NORFOLK, VA 02126-2503
(757) 466-3622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411319
VA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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