Organization
R L WHITE JR., DDS & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE WHITE JR. DDS (PRESIDENT)
(770) 964-1545
Entity
Organization
Contact information
Practice address
168 NW BROAD ST, FAIRBURN, GA 30213-1436
(770) 964-1545
(770) 964-1031
Mailing address
168 NW BROAD ST, FAIRBURN, GA 30213-1436
(770) 964-1545
(770) 964-1031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNO12581
GA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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