Organization
WHITE & WHITE FAMILY DENTISTRY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN L WHITE DMD (PRESIDENT)
(270) 898-6215
Entity
Organization
Contact information
Practice address
6045 KENTUCKY DAM RD, PADUCAH, KY 42003-9472
(270) 898-6215
(270) 898-6504
Mailing address
6045 KENTUCKY DAM RD, PADUCAH, KY 42003-9472
(270) 898-6215
(270) 898-6504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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