Individual
DR. DYLAN JAMES WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3120 KIMBALL AVE, WATERLOO, IA 50702-5272
(319) 232-1354
Mailing address
3120 KIMBALL AVE, WATERLOO, IA 50702-5272
(319) 232-1354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10123
IA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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