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Organization

WHITE PERIODONTICS & IMPLANT DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYRESIA WHITE (DMD)
(864) 557-2656
Entity
Organization

Contact information

Practice address
440 SOCIETY HILL DR, SUITE 201, AIKEN, SC 29803-1754
(864) 557-2656
Mailing address
440 SOCIETY HILL DR, SUITE 201, AIKEN, SC 29803-1754

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8701
SC

Other

Enumeration date
12/20/2016
Last updated
12/20/2016
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