DOUGLAS LEEROY WHITTET

BOISE, ID
NPI1205150406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  CS8544)
Additional Taxonomies122300000X Dentist
(Licence: OR  D6003)
Enumeration Date2010-03-17
Last Update Date2010-03-17
Business Address
DR. DOUGLAS LEEROY WHITTET DMD
1122 N LIBERTY ST
BOISE, ID 83704-8741
Phone number: 208-947-6821
Mailing Address
DR. DOUGLAS LEEROY WHITTET DMD
1122 N LIBERTY ST
BOISE, ID 83704-8741
Phone number: 208-947-6821
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