Individual
BRENT MAYR WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
(310) 825-0834
Mailing address
714 TIVERTON AVE, LOS ANGELES, CA 90095-8361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110991
CA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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