Provider Demographics
NPI:1164645628
Name:STERNITZKY WHITE, KATHERINA N MICHELLE (DDS)
Entity Type:Individual
Prefix:
First Name:KATHERINA
Middle Name:N MICHELLE
Last Name:STERNITZKY WHITE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5595 WINFIELD BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1220
Mailing Address - Country:US
Mailing Address - Phone:408-365-7767
Mailing Address - Fax:408-367-7375
Practice Address - Street 1:5595 WINFIELD BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1220
Practice Address - Country:US
Practice Address - Phone:408-365-7767
Practice Address - Fax:408-367-7375
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA437431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice