Individual
NICHOLAS DAVID WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(314) 435-3092
Mailing address
4530 HOLLY ST APT 9, KANSAS CITY, MO 64111-4272
(314) 435-3092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013018053
MO
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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