Individual
DR. JOHN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1101 E. LEIGH STREET, PERKINSON BUILDING, GRADUATE PERIODONTICS, RICHMOND, VA 23298
(804) 828-0792
Mailing address
362 ALBEMARLE AVE, RICHMOND, VA 23226-1602
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401414871
VA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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