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General NPI Number Information
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NPI Number | 1972235232
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Entity Type | Organization
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Legal Business Name | CRISTEN D. WHITMER DDS INC.
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 4000 CALLE TECATE STE 206
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City | CAMARILLO
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State | CA
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Zip | 93012-5286
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Country | US
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Telephone | 805-379-1989
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 CALLE TECATE STE 206
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City | CAMARILLO
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State | CA
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Zip | 93012-5286
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Country | US
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Telephone | 805-379-1989
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRISTEN DISMUKE WHITMER
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Credential | DDS
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Telephone | 805-377-1485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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