Organization
DIANA WHITTAKER DDS PLC
Active
Other names
Smiles on Little Mack
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA JENNY WHITTAKER DDS (OWNER DENTIST)
(586) 285-5758
Entity
Organization
Contact information
Practice address
25630 LITTLE MACK AVE STE 1, SAINT CLAIR SHORES, MI 48081-2109
(586) 285-5758
Mailing address
25630 LITTLE MACK AVE STE 1, SAINT CLAIR SHORES, MI 48081-2109
(586) 285-5758
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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