Individual
SUSAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8 BRENDA LN, MERRIMACK, NH 03054-2508
(310) 490-7917
Mailing address
8 BRENDA LN, MERRIMACK, NH 03054-2508
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
04316
NH
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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