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1699467548
DOMINIQUE WHITE
PHILADELPHIA, PA
NPI
1699467548
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Professional Name
DOMINIQUE WILSON-WHITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: PA PHDH001364)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
DOMINIQUE WHITE PHDHP
4821 N FRANKLIN ST
PHILADELPHIA, PA 19120-3737
Phone number: 215-910-5551
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Mailing Address
DOMINIQUE WHITE PHDHP
4821 N FRANKLIN ST
PHILADELPHIA, PA 19120-3737
Phone number: 215-910-5551
Copy
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