person
Dr. Samuel Edward Whisenant JR., LDDPD
Denturist in Kent, Washington
NPI 1679799449

Samuel Edward Whisenant JR. is a Denturist based in Kent, WA. Samuel Edward Whisenant JR. practices in Kent, WA and has the professional credentials of LDDPD. The NPI Number for Samuel Edward Whisenant JR. is 1679799449 and holds a License No. DN00000381 (Washington).

The current practice location address for Samuel Edward Whisenant JR. is 25052 104Th Ave Se, Kent, WA and can be reached out via phone at 253-813-8000 and via fax at 253-813-8007. You can also correspond with Samuel Edward Whisenant JR. through the mailing address at 25052 104TH AVE SE, KENT, WA - 98030-6853 (mailing address contact number: 253-813-8000).

Location: 25052 104Th Ave Se, Kent, WA, 98030-6853
person
Provider Profile Details
NPI Number
1679799449
Provider Name
Samuel Edward Whisenant JR.
Credential
LDDPD
Provider Entity Type
Individual
Gender
Male
Address
25052 104Th Ave Se, Kent, WA, 98030-6853
Phone Number
253-813-8000
Fax Number
253-813-8007
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5047857 01 WA PROVIDER
institution
Provider Business Practice Location Address Details
Address
25052 104Th Ave Se
City
State
Zip
98030-6853
Phone Number
253-813-8000
Fax Number
253-813-8007
person
Provider Business Mailing Address Details
Address
25052 104Th Ave Se
City
State
Zip
98030-6853
Phone Number
253-813-8000
Fax Number
253-813-8007
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN00000381 (Washington)
Definition
Definition to come.
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