| NPI | 1356098107 |
|---|---|
| Doing Business As | WHITNEY & DALE PLLC |
| Entity Type | Organization |
| Authorized Contact | SHAUN MICHAEL WHITNEY Owner 208-691-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |