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Individual

MRS. TERI DAWN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2802 8TH ST, WOODWARD, OK 73801-6722
(580) 256-4301
(580) 256-1437
Mailing address
2802 8TH ST, WOODWARD, OK 73801-6722
(580) 256-4301
(580) 256-1437

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5133
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
516578
BC & BS OF KS
KS
01
727081
UNITED CONCORDIA
OK
Enumeration date
07/14/2006
Last updated
07/08/2007
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