Provider Demographics
NPI:1255723839
Name:WHITMER, LEDA MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:LEDA
Middle Name:MARIE
Last Name:WHITMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25775 MCBEAN PARKWAY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3703
Mailing Address - Country:US
Mailing Address - Phone:661-254-7020
Mailing Address - Fax:661-254-6523
Practice Address - Street 1:25775 MCBEAN PARKWAY
Practice Address - Street 2:SUITE 207
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3703
Practice Address - Country:US
Practice Address - Phone:661-254-7020
Practice Address - Fax:661-254-6523
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA279351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice