Individual
DR. DIANA JENNY WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
25630 LITTLE MACK AVE STE 1, SAINT CLAIR SHORES, MI 48081-2109
(586) 285-5758
Mailing address
25630 LITTLE MACK AVE STE 1, SAINT CLAIR SHORES, MI 48081-2109
(586) 285-5758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20834
MI
Other
Enumeration date
06/12/2012
Last updated
09/16/2024
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