Individual
DR. SAMUEL EDWARD WHISENANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D. D.P.D.
Contact information
Practice address
25052 104TH AVE SE, SUITE G, KENT, WA 98030-6853
(253) 813-8000
(253) 813-8007
Mailing address
25052 104TH AVE SE, SUITE G, KENT, WA 98030-6853
(253) 813-8000
(253) 813-8007
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000381
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5047857
PROVIDER
WA
Enumeration date
04/18/2007
Last updated
07/08/2007
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