Individual
DR. DONALD ALLEN WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11035 W. FOREST HOME AVE, #116, HALES CORNERS, WI 53130
(414) 529-1110
(414) 529-1134
Mailing address
11035 W. FOREST HOME AVE, #116, HALES CORNERS, WI 53130
(414) 529-1110
(414) 529-1134
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5000978
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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