Organization
GEORGE M. WHITEHEAD D.D.S., PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHONG WHITEHEAD (OFFICER)
(360) 533-2726
Entity
Organization
Contact information
Practice address
222 EAST FIRST STREET, SUITE B, ABERDEEN, WA 98520
(360) 533-2726
(360) 532-9915
Mailing address
222 EAST FIRST STREET, SUITE B, ABERDEEN, WA 98520
(360) 533-2726
(360) 532-9915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5204
WA
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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