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General NPI Number Information
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NPI Number | 1740316108
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Entity Type | Organization
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Legal Business Name | DAVID M WHITE DDS LTD
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3575 GRANT DR SUITE 1
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City | RENO
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State | NV
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Zip | 89509-5301
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Country | US
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Telephone | 775-287-7960
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Fax |
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Provider Business Mailing Address
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Address Line | 11245 TORINO WAY
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City | RENO
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State | NV
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Zip | 89521
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Country | US
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Telephone | 775-287-7960
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MATTHEW WHITE
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Credential | DDS
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Telephone | 775-287-7960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4567
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License Number State | NV
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