Individual
CHRISTIAN DAVIS WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
906 ORANGE ST, FORT VALLEY, GA 31030-3456
(478) 825-2001
Mailing address
906 ORANGE ST, FORT VALLEY, GA 31030-3456
(478) 825-2001
(478) 825-7836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015866
GA
Other
Enumeration date
06/18/2019
Last updated
06/08/2021
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