Individual
DR. WHITNEY BAILEY GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2486 PRUDEN BLVD., SUFFOLK, VA 23434
(757) 539-3021
(757) 539-6262
Mailing address
2486 PRUDEN BLVD., SUFFOLK, VA 23434
(757) 539-3021
(757) 539-6262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414957
VA
122300000X
Dentist
150980
NC
Other
Enumeration date
06/30/2014
Last updated
03/22/2019
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