| NPI | 1063941961 |
|---|---|
| Former Name | JANE K WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9926) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9926) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2020-06-17 |