| NPI | 1609989342 |
|---|---|
| Former Name | ANDREA LENETTE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24150) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL LNO 5490) |
| 122300000X Dentist (Licence: AL 5490) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-03-01 |