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General NPI Number Information
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NPI Number | 1184060857
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Entity Type | Organization
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Legal Business Name | WHITE SMILES ORTHODONTICS PC
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 7270 HIGHWAY 6 SUITE 300
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4690
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Country | US
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Telephone | 281-969-7106
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Fax | 303-496-0708
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Provider Business Mailing Address
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Address Line | 7270 HIGHWAY 6 SUITE 300
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4690
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Country | US
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Telephone | 281-969-7106
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Fax | 303-496-0708
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Authorized Official
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Title or Position | OWNER ORTHODONTIST
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Name | DR. JULIAN CHRISTOPHER WHITE
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Credential | DDS
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Telephone | 281-969-7106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 24371
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License Number State | TX
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