Individual
DR. THOMAS LEONARD WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
105 S WALNUT AVE, DEMOPOLIS, AL 36732-4335
(334) 289-0183
(334) 289-0152
Mailing address
105 S WALNUT AVE, DEMOPOLIS, AL 36732-4335
(334) 289-0183
(334) 289-0152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5753
AL
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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