Provider Demographics
NPI:1497898209
Name:EARL L WHETSTONE II DDS A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:EARL L WHETSTONE II DDS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHETSTONE
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-322-8572
Mailing Address - Street 1:744 MIDDLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2911
Mailing Address - Country:US
Mailing Address - Phone:650-322-8572
Mailing Address - Fax:650-322-4121
Practice Address - Street 1:744 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2911
Practice Address - Country:US
Practice Address - Phone:650-322-8572
Practice Address - Fax:650-322-4121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA435701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty