Richard White, DDS

NPI 1134338239 · on the registry since 2007 · sole proprietor

Practice

Address: 415 Broad St
Suite 3
Lake Geneva, WI 53147
Phone: (262) 248-0452
Fax: (262) 248-0446
Organisation at this address: Dr. Daniel Bishop
Ladd F. Koresch O.D., S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin