Kevin Whitaker

NPI #1306299292 in Fort Valley, Georgia

Provider Information

NPI Number
1306299292
Entity Type
Individual
Name
Kevin Whitaker
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 15, 2016
Last Updated
Jul 15, 2016

Practice Location

Address
906 ORANGE ST
State
Georgia
ZIP Code
31030-3456
Phone
(478) 825-2001

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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