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Individual

DR. DANNY LAVERN WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2910 HAMILTON BLVD, SUITE 102, SIOUX CITY, IA 51104-2423
(712) 258-5057
(712) 258-7963
Mailing address
2910 HAMILTON BLVD, SUITE 102, SIOUX CITY, IA 51104-2423
(712) 258-5057
(712) 258-7963

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5870
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0119156
IA
Enumeration date
08/13/2006
Last updated
07/09/2007
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