Individual
DOMINIQUE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
4821 N FRANKLIN ST, PHILADELPHIA, PA 19120-3737
(215) 910-5551
Mailing address
4821 N FRANKLIN ST, PHILADELPHIA, PA 19120-3737
(215) 910-5551
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH001364
PA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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