Individual
KENDA ROCHELLE WHITTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
BLDG 3255 11TH AIRBORNE DIV ROAD, FORT BENNING, GA 31905
(706) 544-9072
Mailing address
921 WALDEN CHASE LN, COLUMBUS, GA 31909-1756
(706) 289-9006
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009309
GA
Other
Enumeration date
09/12/2006
Last updated
06/06/2016
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