Organization
WHITNEY L DEITZ DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY DEITZ (OWNER)
(270) 686-1636
Entity
Organization
Contact information
Practice address
5035 FREDERICA ST STE 3, OWENSBORO, KY 42301-7515
(270) 686-1636
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2023
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