Individual
MARK WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
421 2ND ST, TRAVERSE CITY, MI 49684-2004
(231) 922-0775
(231) 941-1831
Mailing address
421 2ND ST, TRAVERSE CITY, MI 49684-2004
(231) 922-0775
(231) 941-1831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015139
MI
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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