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Individual
DR. SHAUN MICHAEL WHITNEY
Active
Individual
DR. SHAUN MICHAEL WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
D4420EN
ID
1223P0300X
Periodontics
Primary
D4420PE
ID
Other
Enumeration date
08/11/2010
Last updated
10/15/2012
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