Individual
DR. WHITNEY NICOLE DEFOREST HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
103 OFALLON COMMONS DR, O FALLON, MO 63368-7931
(636) 978-9585
Mailing address
103 OFALLON COMMONS DR, O FALLON, MO 63368-7931
(636) 978-9585
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2014016769
MO
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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