GORDON RICHARD WHITE

SAINT LOUIS, MO
NPI1720158850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MO  11033)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
Dr. GORDON RICHARD WHITE D.D.S
2821 N BALLAS RD SUITE 260
SAINT LOUIS, MO 63131-2321
Phone number: 314-567-4850
Mailing Address
Dr. GORDON RICHARD WHITE D.D.S
2821 N BALLAS RD SUITE 260
SAINT LOUIS, MO 63131-2321
Phone number: 314-567-4850