Individual
CAROLYN WHITTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16655 W BLUEMOUND RD STE 380, BROOKFIELD, WI 53005-5939
(262) 786-1270
Mailing address
2309 BRIAN CT, WAUKESHA, WI 53188-2029
(864) 593-8784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9191
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1002563-15
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901600969
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D14611
MN
Other
Enumeration date
07/12/2021
Last updated
09/24/2023
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