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Individual

DR. MICHAEL A WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
189 BAKER AVE, WEBSTER GROVES, MO 63119
(314) 961-1160
(314) 961-7822
Mailing address
12765 ZACHARYS RIDGE, ST LOUIS, MO 63127
(314) 497-3729

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14107
MO

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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