Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 42251 | CA |
NPI | 1023311248 |
---|---|
Provider Name | Dr. Stewart Edward White |
First Address | Santa Barbara, CA 93105-3464 |
Second Address | Santa Barbara, CA 93105-3464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2010 |
Last Update Date | 09/12/2010 |