Individual
DAVID KEITH WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3120 KIMBALL AVE, WATERLOO, IA 50702-5272
(319) 232-1354
(319) 232-2082
Mailing address
3120 KIMBALL AVE, WATERLOO, IA 50702-5272
(319) 232-1354
(319) 232-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5479
IA
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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