Organization
GENEVA WHITE DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENEVA WHITE DMD (DENTIST)
(561) 434-4344
Entity
Organization
Contact information
Practice address
5970 S JOG RD STE E, LAKE WORTH, FL 33467-6576
(561) 434-4344
(561) 434-3634
Mailing address
5970 S JOG RD STE E, LAKE WORTH, FL 33467-6576
(561) 434-4344
(561) 434-3634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12984
FL
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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