An White, DDS, PLLC
Dentist, General Practice in Stafford, TX. Organization (NPI-2).
NPI number1265031793
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1265031793
- Entity type
- Organization (NPI-2)
- Legal business name
- An White, DDS, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Domain (Doing Business As)
Practice location
3607 S Main St # 107Stafford, TX 77477-5406
Phone 832-930-7847 · Fax 281-969-8032
Mailing address
3607 S Main St # 107Stafford, TX 77477-5406
Phone 832-930-7847
Authorized official
An White
Ceo
8329307847
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