NPI 1245418938

Lawrence Anthony White, DMD

Practitioner Dentist Olympia Fields, IL

Practice location

Address: 612 Brookwood Dr, Olympia Fields, IL 60461-1508
Phone: (310) 497-0535
Mailing address: 9515 National Blvd Suite #1, Los Angeles, CA 90034-2863

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 019-021776 (IL)

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Registry record

NPI: 1245418938
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2008
Record last updated: 5 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.