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Individual

JOHN L WHIPPLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1400 SOUTHWEST BLVD, SUITE A, JEFFERSON CITY, MO 65109-2430
(573) 634-4909
(573) 634-9047
Mailing address
1400 SOUTHWEST BLVD, SUITE A, JEFFERSON CITY, MO 65109-2430
(573) 634-4909
(573) 634-9047

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012325
MO

Other

Enumeration date
09/15/2006
Last updated
07/08/2007
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