Individual
DR. SHAUN MICHAEL WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1322 W KATHLEEN AVE STE 2, COEUR D ALENE, ID 83815-7365
(208) 664-7300
Mailing address
1322 W KATHLEEN AVE STE 2, COEUR D ALENE, ID 83815-7365
(208) 664-7300
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
D4420EN
ID
1223P0300X
Periodontics
Primary
D4420PE
ID
Other
Enumeration date
08/11/2010
Last updated
10/15/2012
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