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1346561719
BRENT WHITE
WALDORF, MD
NPI
1346561719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 12373)
Enumeration Date
2010-06-19
Last Update Date
2010-06-19
Business Address
DR. BRENT WHITE D.D.S
2159 CRAIN HWY
WALDORF, MD 20601-3155
Phone number: 301-843-6171
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Mailing Address
DR. BRENT WHITE D.D.S
2159 CRAIN HWY
WALDORF, MD 20601-3155
Phone number: 301-843-6171
Copy
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