| Diana Whittaker Dds Plc | |
|
25630 Little Mack Ave Ste 1 Saint Clair Shores MI 48081-2109 | |
| (586) 285-5758 | |
| Not Available |
| Full Name | Diana Whittaker Dds Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25630 Little Mack Ave Ste 1, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Diana Jenny Whittaker (OWNER DENTIST) |
| Authorized Official Contact | 5862855758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Whittaker Dds Plc 25630 Little Mack Ave Ste 1 Saint Clair Shores MI 48081-2109 Ph: (586) 285-5758 | Diana Whittaker Dds Plc 25630 Little Mack Ave Ste 1 Saint Clair Shores MI 48081-2109 Ph: (586) 285-5758 |
| NPI Number | 1801623616 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801623616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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