Individual
DIANA L WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 299-3316
(608) 361-6131
Mailing address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 299-3316
(608) 361-6131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5955-16
WI
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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