Individual
MRS. DIANE MARIE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, LPDH
Contact information
Practice address
175 WATER ST., ELLSWORTH, ME 04605
(207) 667-5744
(207) 667-5744
Mailing address
175 WATER ST., ELLSWORTH, ME 04605
(207) 667-5744
(207) 667-5744
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1069
ME
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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