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Individual

CHRISTIANA MICA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
708 DALLAS ST, CHETEK, WI 54728-9120
(715) 924-4841
Mailing address
2424 TULANE AVE APT 706, NEW ORLEANS, LA 70119-7570
(904) 891-1085

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6001721-15
WI
122300000X
Dentist
Primary
7603
LA
1223G0001X
General Practice Dentistry
Primary
7603
LA

Other

Enumeration date
04/12/2023
Last updated
01/20/2026
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