Individual
DR. GEORGE LYNN WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7630 CAMBRIDGE MANOR PL, FORT MYERS, FL 33907-3602
(239) 936-3636
(239) 939-1272
Mailing address
7630 CAMBRIDGE MANOR PL, FORT MYERS, FL 33907-3602
(239) 936-3636
(239) 939-1272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7631
FL
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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