Individual
DR. JUSTIN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2868 W MARTIN LUTHER KING BLVD, FAYETTEVILLE, AR 72704-7625
(479) 249-8181
Mailing address
2690 BELLA VISTA WAY, BELLA VISTA, AR 72714-3704
(479) 855-6764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
055932-1
NY
1223G0001X
General Practice Dentistry
Primary
3780
AR
Other
Enumeration date
04/30/2010
Last updated
07/25/2019
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