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Organization
DIANA J WHITTAKER DDS PLLC
Active
Organization
DIANA J WHITTAKER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA WHITTAKER DDS (AUTHORIZED OFFICIAL)
(209) 380-5486
Entity
Organization
Contact information
Practice address
584 S MAIN ST, PLYMOUTH, MI 48170-1709
(734) 453-5588
Mailing address
584 S MAIN ST, PLYMOUTH, MI 48170-1709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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