Individual
AN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3607 S MAIN ST # 107, STAFFORD, TX 77477-5406
(832) 930-7847
Mailing address
715 W WHEATLAND RD, DUNCANVILLE, TX 75116-4520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32996
TX
1223G0001X
General Practice Dentistry
32996
TX
Other
Enumeration date
06/14/2017
Last updated
10/25/2019
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