Individual provider · Type 1 NPI

Jack Raymond White, DMD

General Practice Dentistry · San Diego, CA

NPI number 1467573675 Active

About NPI 1467573675

Jack Raymond White, DMD's National Provider Identifier is 1467573675, issued on Apr 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.