Individual
MICHAEL WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1979 WEST VALENCIA ROAD, TUCSON, AZ 85746
(520) 357-0330
Mailing address
5242 E DRAGOON AVE, MESA, AZ 85206-2263
(310) 930-6851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10452
AZ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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