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Organization

WHITESTONE DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WARREN R WILLIS DMD (OWNER)
(208) 869-5702
Entity
Organization

Contact information

Practice address
1740 S SPANISH SUN WAY, MERIDIAN, ID 83642
(208) 869-5702
Mailing address
1740 S SPANISH SUN WAY, MERIDIAN, ID 83642-8024
(208) 370-5620
(208) 218-9710

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/10/2025
Last updated
03/23/2026
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