Organization · Type 2 NPI

The Dentist: Whitewater, LLC

Dental Clinic/Center · Whitewater, WI

NPI number 1164930970 Active

About NPI 1164930970

The Dentist: Whitewater, LLC's National Provider Identifier is 1164930970, issued on Jan 15, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Whitewater, WI. The record was last updated on Jan 15, 2018.