Individual
DR. ELLEN GRACE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
321 S WALLACE WILKINSON BLVD, LIBERTY, KY 42539-1024
(606) 787-0292
Mailing address
321 S WALLACE WILKINSON BLVD, LIBERTY, KY 42539-1024
(606) 787-0292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10393
KY
Other
Enumeration date
01/16/2020
Last updated
08/30/2023
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