Organization
WDWROSEVILLEPLLC
Active
Parent organization
WDW VENTURES LLC
Other names
Whole Dental Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
WDW VENTURES LLC
Authorized official
DR. WHITNEY WEINER (OWNER)
(586) 772-0100
Entity
Organization
Contact information
Practice address
21055 E 12 MILE RD, ROSEVILLE, MI 48066-2205
(586) 772-0100
(586) 772-3128
Mailing address
21055 E 12 MILE RD, ROSEVILLE, MI 48066-2205
(586) 772-0100
(586) 772-3128
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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