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Individual

BENJAMIN CLARK WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1108 N 12TH AVE, SUITE C, PENSACOLA, FL 32501-3308
(850) 912-8877
Mailing address
402 NAVARRE ST, GULF BREEZE, FL 32561-4134
(850) 816-8787

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21409
FL

Other

Enumeration date
05/11/2015
Last updated
05/09/2017
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