Individual
MRS. GINA MARIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
189 BAKER AVE, WEBSTER GROVES, MO 63119
(314) 961-1160
Mailing address
12765 ZACHARYS RIDGE, SUNSET HILLS, MO 63127
(314) 842-1566
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003835
MO
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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