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Organization
JESSE WHITELY DDS, INC
Active
Organization
JESSE WHITELY DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE RYAN WHITELY DDS (PRESIDENT)
(530) 885-6559
Entity
Organization
Contact information
Practice address
3113 PROFESSIONAL DR, AUBURN, CA 95603-2459
(530) 885-6559
(530) 885-4142
Mailing address
3113 PROFESSIONAL DR, AUBURN, CA 95603-2459
(530) 885-6559
(530) 885-4142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59369
CA
Other
Enumeration date
08/05/2018
Last updated
12/23/2021
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