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Individual

DR. ROBERT RUSSELL WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
188 LONGWOOD AVE, HARVARD SCHOOL OF DENTAL MEDICINE, BOSTON, MA 02115
(617) 432-1445
(617) 432-0901
Mailing address
188 LONGWOOD AVE, HARVARD SCHOOL OF DENTAL MEDICINE, BOSTON, MA 02115
(617) 432-1445
(617) 432-0901

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12762
MA

Other

Enumeration date
10/14/2006
Last updated
07/08/2007
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