Individual
PROF. KINGSLY DIONE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
80 NE BEND RIVER MALL AVE, BEND, OR 97703-7528
(541) 647-5555
Mailing address
61438 LINTON LOOP, BEND, OR 97702-3219
(678) 800-3970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11770
OR
Other
Enumeration date
05/23/2007
Last updated
08/28/2023
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