Organization
WHITE SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS R. WHITE DMD (OWNER)
(435) 789-7533
Entity
Organization
Contact information
Practice address
787 W HIGHWAY 40, VERNAL, UT 84078-2427
(435) 789-7533
(435) 789-7532
Mailing address
787 W HIGHWAY 40, VERNAL, UT 84078-2427
(435) 789-7533
(435) 789-7532
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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