Individual
EDWARD BOYD WHILLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
804 WEST BLVD, RAPID CITY, SD 57701-3577
(605) 348-1738
(605) 348-8712
Mailing address
804 WEST BLVD, RAPID CITY, SD 57701-3577
(605) 348-1738
(605) 348-8712
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
M-347
SD
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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