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Individual
DR. WARREN L WHITNAH
Active
Individual
DR. WARREN L WHITNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4377
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0636682-6
SID#
OR
01
—
210013
OMAP PROVIDER #
OR
01
—
356545
DRIVERS LICENSE #
OR
01
—
4377
DENTAL LICENSE #
OR
Enumeration date
01/30/2007
Last updated
07/08/2007
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