Individual
DR. TODD MITCHELL WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3671 S SARE RD, BLOOMINGTON, IN 47401-4173
(812) 332-0052
(812) 332-0128
Mailing address
3671 S SARE RD, BLOOMINGTON, IN 47401-4173
(812) 332-0052
(812) 332-0128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009170A
IN
Other
Enumeration date
09/26/2006
Last updated
02/17/2012
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