Provider Demographics
NPI:1639284342
Name:WHETSTONE, CHRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:SOULIMIOTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:223 THOUSAND OAKS BLVD SUITE 316
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360
Mailing Address - Country:US
Mailing Address - Phone:805-496-9393
Mailing Address - Fax:805-497-4365
Practice Address - Street 1:223 THOUSAND OAKS BLVD SUITE 316
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360
Practice Address - Country:US
Practice Address - Phone:805-496-9393
Practice Address - Fax:805-497-4365
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADS033667122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist